Avery Michelle Cannon, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3195 Issued in OK

Practice address

16308 Ironstone Dr
Edmond, OK 73013-6089

Phone

(405) 885-0270

NPI assigned

Sep 3, 2025

Sex

Female

Sole proprietor

Yes

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

Enrolled in OK

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Well Rooted Health and Nutrition

  • Metabolic Nutrition Registered Dietitian
  • Edmond, OK
  • NPI 1518515956

  OK

  Medicare reassignment NPD

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1821978636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 NW 29TH ST APT 1",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731031049",
            "telephone_number": "918-257-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16308 IRONSTONE DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136089",
            "telephone_number": "405-885-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "AVERY",
        "middle_name": "MICHELLE",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "3195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Can DO Kids Therapy
• Emma Candelaria, RBT
• Candida Barber, LPC PLLC
• Carissa Temple Candler, MD
• Christopher Asa Candler
• Canyon Park Medical Group, PLLC
• Madison Marie Cape
• Jonathan Henry Capelle, MD
• Maya Reene Cardenas
• Cardiovascular Specialist, Inc

• All providers in Edmond, OK
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.