Individual provider Active NPI

Chiquita Annette Cannon-Jones, LPN

  • Licensed Practical Nurse
  • Lorain, OH
National Provider Identifier
1942536735
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN 128063 IV Issued in OH
Practice address
2328 Stonepath St
Lorain, OH 44052-1189
Phone
(216) 548-9675
Fax
(440) 245-0136
NPI assigned
Oct 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN 128063 IV OH Primary

Addresses

Primary practice location

2328 Stonepath St
Lorain, OH 44052-1189

Mailing address

2328 Stonepath St
Lorain, OH 44052-1189
Phone (216) 548-9675

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

State licenses

LicenseStateTypeSpecialty
PN 128063 IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1942536735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 STONEPATH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440521189",
            "telephone_number": "216-548-9675",
            "fax_number": "440-245-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 STONEPATH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440521189",
            "telephone_number": "216-548-9675",
            "fax_number": "440-245-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON-JONES",
        "first_name": "CHIQUITA",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 128063 IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.