Keisha Crum-Cannon, CRNP

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

1-132375 Issued in AL

Practice address

106 W Myrtle Ave
Foley, AL 36535-1935

Phone

(251) 943-5437

Fax

(251) 943-3227

NPI assigned

May 14, 2015

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1982082541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W MYRTLE AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351935",
            "telephone_number": "251-943-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W MYRTLE AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351935",
            "telephone_number": "251-943-5437",
            "fax_number": "251-943-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUM-CANNON",
        "first_name": "KEISHA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "AL",
            "license": "1-132375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie E Cox
• John Thomas Craver, CRNP
• Shemar Richard Crawford
• Bailey Creighton
• Mary Catherine M Crocker, PHARMD
• Sarah E Cunningham, LPC, M.ED.
• Thomas Fredrik Cutsinger, PT, DPT
• Tasha Dallmann
• Whitney Weatherford Daugette, LCSW
• Brielle Daverede Hart, DMD

• Pediatric Registered Nurse in Foley, AL
• Providers in Foley, AL by specialty
• Pediatric Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.