Active NPI
Roger Dale Voncannon, RN
- Registered Nurse
- Winston-Salem,, NC
National Provider Identifier
1841434859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 221866O
- Practice address
- 2085 Frontis Plaza Blvd
Novant Health
Winston-Salem,, NC 27103 - Phone
- (336) 718-5402
- NPI assigned
- Apr 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 221866O | NC | Primary |
Addresses
Primary practice location
2085 Frontis Plaza Blvd
Novant Health
Winston-Salem,, NC 27103
Mailing address
2916 Cline School Rd
Concord, NC 28025-7341
Phone (704) 791-7102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221866O | NC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240358400000",
"number": "1841434859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2916 CLINE SCHOOL RD",
"city": "CONCORD",
"state": "NC",
"postal_code": "280257341",
"telephone_number": "704-791-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2085 FRONTIS PLAZA BLVD",
"address_2": "NOVANT HEALTH",
"city": "WINSTON-SALEM,",
"state": "NC",
"postal_code": "27103",
"telephone_number": "336-718-5402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONCANNON",
"first_name": "ROGER",
"middle_name": "DALE",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-22",
"last_updated": "2009-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "221866O",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston-Salem,, NC
- Elliott Vogler, LAT, ATC
- Timothy Alfred Vogler, DPM
- Voice for Children & Nurturing Families PLLC
- Christa Ann Voigt, PHARMD
- Michael Francis Vollmer
- Wayne Vonseggen, PA-C
- Andrew Charles Voris, MD
- Konstantinos Ioannis Votanopoulos, MD
- Amy Elizabeth Voutsinas, M.S.ED., CCC-SLP
- Peter S. Vrooman Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.