Imani Patrice Cannon

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

7007 W Indian School Rd Apt 2143
Phoenix, AZ 85033-3387

Phone

(602) 475-2878

NPI assigned

Aug 15, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1730735796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 W INDIAN SCHOOL RD APT 2143",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333387",
            "telephone_number": "602-475-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 W INDIAN SCHOOL RD APT 2143",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333387",
            "telephone_number": "602-475-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "IMANI",
        "middle_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette M Canella, OTR/L
• Rosalind Lorena Canham, D.C.
• Christina Marie Cannata, NP
• Courtney Canner, PHARMD
• Grete K Cannon, OT
• Robert Cannon
• Shelley Cannon
• Tyler Ross Cannon, DPT
• Nohemi Cano Leiva
• Ariana Marina Cano, MD

• Home Health Aide in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Aide in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.