Active NPI
Tamiere Cannon, CNA
- Home Health Agency
- Belleville, IL
National Provider Identifier
1972143238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 3100 Martha St Apt I
Belleville, IL 62226-6729 - Phone
- (720) 309-7312
- NPI assigned
- Jan 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3100 Martha St Apt I
Belleville, IL 62226-6729
Mailing address
3100 Martha St Apt I
Belleville, IL 62226-6729
Phone (720) 309-7312
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cannon Care Services | Home Health | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Belleville, IL
- NPI 1982206405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1972143238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 MARTHA ST APT I",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622266729",
"telephone_number": "720-309-7312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 MARTHA ST APT I",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622266729",
"telephone_number": "720-309-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "TAMIERE",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-14",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.