Beth Cannon

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5273 Issued in TN

Practice address

233 W Main St
Morristown, TN 37814-4630

Phone

(423) 839-2550

NPI assigned

Jan 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Impact Healthcare, PLLC

  • Internal Medicine Physician
  • Springfield, TN
  • NPI 1639656986
  NPD (past)

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1821454216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 W MAIN ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378144630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 W MAIN ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378144630",
            "telephone_number": "423-839-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 west sprindale ave",
            "address_purpose": "LOCATION",
            "city": "knoxville",
            "state": "TN",
            "postal_code": "37917",
            "country_code": "US",
            "telephone_number": "865-637-9711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5273",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannan Michelle Calhoon, CNM, ARNP
• Makayla J Calloway, BA
• Alexis Jaixen Campbell, LCSW LCAS
• Amanda L Campbell, DDS
• Kalla A Campbell, OTR/L
• Jennifer Nicole Cansler, RN
• Paul Capanna, LADAC 1
• Paul B Cardali, MD
• Cardinal Osteopathic Wellness Center
• Caris Healthcare

• Professional Counselor in Morristown, TN
• Providers in Morristown, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.