Constance Cannon

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

100783411 Issued in SC

Practice address

1452 Pineland Dr
Columbia, SC 29203-2127

Phone

(803) 760-0856

NPI assigned

Jul 25, 2022

Last updated

Jul 25, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1942936844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 PINELAND DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292032127",
            "telephone_number": "803-760-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 PINELAND DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292032127",
            "telephone_number": "803-760-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "CONSTANCE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "SC",
            "license": "100783411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Marie Canfield
• Nancy Bowden Cannada
• Brian Wayne Cannon, O.D.
• Charles Bruce Cannon, M.ED., LPC
• Christine Connor Cannon, NP
• James Daniel Cannon
• Jessica A Cannon, ANP
• Kimberlee Lockwood Cannon, LISW-CP
• Wayne M Cannon, O.D.
• Jessica Rowena Cantarutti, CRNA

• Non-emergency Medical Transport (VAN) in Columbia, SC
• Providers in Columbia, SC by specialty
• Non-emergency Medical Transport (VAN) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.