Organization Active NPI

Marianne T Cannon

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Beverly, MA
National Provider Identifier
1972911824
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
RN101598 Issued in MA
Legal business name
MARIANNE T CANNON
Practice address
100 Cummings Ctr Ste 345F
Beverly, MA 01915-6501
Phone
(978) 535-6043
Fax
(978) 535-6047
NPI assigned
Jul 23, 2014
Last updated
Nov 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Ann Marie McGrane
Title
Office Manager
Phone
(978) 535-6043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RN101598 MA Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 345F
Beverly, MA 01915-6501

Mailing address

100 Cummings Ctr Ste 345F
Beverly, MA 01915-6501
Phone (978) 535-6043

National Provider Directory

National Provider Directory

Locations

100 Cummings Ctr
Ste 345F
Beverly, MA 01915
Phone (978) 337-7706

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1972911824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 345F",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156501",
            "telephone_number": "978-535-6043",
            "fax_number": "978-535-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 345F",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156501",
            "telephone_number": "978-535-6043",
            "fax_number": "978-535-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNE T CANNON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "MCGRANE",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-535-6043"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MA",
            "license": "RN101598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.