Deanna L Cannon

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.004999 Issued in IL

Practice address

3222 Independence Dr
Danville, IL 61832-7919

Phone

(217) 431-1600

NPI assigned

Jun 7, 2019

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

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1972162477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 S MAPLE ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618015127",
            "telephone_number": "217-480-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 INDEPENDENCE DR",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618327919",
            "telephone_number": "217-431-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "DEANNA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.004999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Caballero, MD
• Kylie Rachelle Callahan, LSW
• Megan Cambron, LCSW
• Amy Cameron
• Matthew Canciller, PHARMD
• Latonya Carey-Wright, PSYD.
• Carle Clinic Association
• Carle Clinic Association, PC
• Carle Clinic Association, PC
• Carle Clinic Association, PC

• Occupational Therapy Assistant in Danville, IL
• Providers in Danville, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.