JENNIFER CANNON (NPI# 1013515238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013515238 |
| Entity Type | Individual |
| Full Name | JENNIFER CANNON |
| Credential | MHPS-PSS |
| Practice Address |
26110 White Sage Cove Ln Spring TX 77386-3944 |
| Practice Telephone | 9105462979 |
| Mailing Telephone | 9105462979 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 50025-0820 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS CERTIFICATION BOARD | 50025-0821 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225462039 | Jennifer Lynn Cannon | Chore Provider | 201 Nc 54, Apt 605, Carrboro, NC 27510-1600 | 2013-08-28 |
| 1104127869 | Jennifer Anne Nibley Cannon | Psychologist | 796 E Pacific Dr Ste B, American Fork, UT 84003-3161 | 2010-11-11 |
| 1093822157 | Jennifer Cannon | Physical Therapist | 5920 S Estes St Ste 100, Littleton, CO 80123-8619 | 2006-08-24 |
| 1598326928 | Jennifer Leigh Cannon | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2019-06-26 |
| 1942863154 | Jennifer Cannon | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2019-04-15 |
| 1699212779 | Jennifer Cannon | Nurse Practitioner | 380 9th St, Florence, OR 97439-9470 | 2017-01-26 |
| 1528461647 | Jennifer Cannon | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2014-10-02 |
| 1861831711 | Jennifer Anne Cannon | Psychiatry & Neurology | 1020 Sansom St Ste 1652, Philadelphia, PA 19107-5002 | 2013-06-24 |
| 1750725008 | Jennifer Leigh Cannon | Nurse Practitioner | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 | 2013-04-17 |
| 1487996930 | Jennifer C Cannon | Obstetrics & Gynecology | 221 Michigan St Ne Ste 600, Grand Rapids, MI 49503 | 2013-03-22 |
| Street Address |
26110 WHITE SAGE COVE LN |
| City | SPRING |
| State | TX |
| Zip Code | 77386-3944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573765 | William Cooper Buschemeyer IIi, M.d. P.a. | Urology | 26620 Interstate 45-north, The Woodlands, TX 77386 | 2020-09-22 |
| 1205452554 | Kira Marie Levy | Specialist | 25700 I-45 #415, Spring, TX 77386 | 2020-06-23 |
| 1356986590 | Zill Holding Inc | Hospice, Inpatient | 415 Woodline Drive, Spring, TX 77386 | 2019-11-12 |
| 1366906257 | Einstein's Pharmacy LLC | Pharmacy | 25190 I-45, Suite B2d, Spring, TX 77386 | 2019-01-25 |
| 1679043202 | Gershom Jinhyun Kim | Physical Therapist | 500 Spring Hill Drive #120, Spring, TX 77386 | 2018-11-27 |
| 1205349065 | Brazos Care Pharmacy LLC | Pharmacy | 990 Rayford Rd Ste 106, Spring, TX 77386 | 2017-11-14 |
| 1740718071 | Ideal Dental of Rayford Pllc | Dentist | 2200 Rayford Road, Suite 101, Spring, TX 77386 | 2017-05-31 |
| 1114453453 | Apollo Rehab At Woodlands, LLC | Skilled Nursing Facility | 24854 Cathedral Lakes Pkwy, Spring, TX 77386 | 2017-05-05 |
| 1093261620 | Pregnancy Assistance Center North | Clinic/Center | 26464 Interstate 45 North, Spring, TX 77386 | 2016-09-01 |
| 1861945388 | Scd,pllc | Dentist | 2833 Riley Fuzzel Rd, Suite #500, Spring, TX 77386 | 2016-08-02 |
| Find all providers in zip 77386 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133270 | Lisa Marie Hickey | Peer Specialist | 2004 Running Brook Ln, Pearland, TX 77584-6778 | 2020-01-25 |
| 1275171183 | Derrick Iozzio | Peer Specialist | 10717 Quartz St, El Paso, TX 79924-1644 | 2019-12-11 |
| 1144865809 | Medella Healthcare, Inc. | Peer Specialist | 10420 Montwood Dr Ste N108, El Paso, TX 79935-2701 | 2019-11-16 |
| 1972152551 | Peer Support of Texas LLC | Peer Specialist | 1801 N Hampton Rd Ste 272, Desoto, TX 75115-2391 | 2019-09-06 |
| 1295394419 | Willie Charles Brantley | Peer Specialist | 3501 Brewster St, Houston, TX 77026-4446 | 2019-06-11 |
| 1629581491 | Map Care Solutions, LLC | Peer Specialist | 1114 Lost Creek Blvd Ste 500, Austin, TX 78746 | 2017-11-14 |
| 1083149835 | Kathryn Cordell | Peer Specialist | 2400 Greenbriar Road, Gatesville, TX 76528 | 2017-04-28 |
| 1871114454 | Courtney B Nixon | Peer Specialist | 1013 Delesandri Ln, Kemah, TX 77565-3142 | 2020-05-05 |
| 1174143051 | Joseph Lee Kastigar | Peer Specialist | 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 | 2020-04-21 |
| 1902445653 | Lazaro James Seriale | Peer Specialist | 7500 Plum Creek Dr Apt 4512, Houston, TX 77012-4022 | 2019-12-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.