Pepper Nicole Cannon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

83688 Issued in TN

Practice address

1301 Riverfront Pkwy
Chattanooga, TN 37402-2233

Phone

(423) 771-8186

NPI assigned

Apr 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: pepper_cannon@tn.gov

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1962023291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8740 OOLTEWAH GEORGETOWN RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 RIVERFRONT PKWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022233",
            "telephone_number": "423-771-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "PEPPER",
        "middle_name": "NICOLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "83688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN BOARD OF NURSING",
            "identifier": "83688",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PEPPER_CANNON@TN.GOV",
            "affiliation": "N",
            "address_1": "1301 Riverfront Pkwy",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374022233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cory Hunter Cannady, BEHAVIOR ANALYST
• Cannon & Cannon Medical, PLLC
• Allison A Cannon, M.D.
• Brandon K. Cannon, D.D.S.
• Brittany Cannon, PA-C
• Sherri Canther, ARNP
• Cantrell Home, Inc.
• Jacob Bruce Cantrell, MD
• Julianne Marie Cantrell, SLP-CCC
• Elizabeth Muller Capecchi, PHD

• All providers in Chattanooga, TN
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.