MRS. KRISTEN NICOLE CANNON (NPI# 1063746402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063746402 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN NICOLE CANNON |
| Credential | LPN |
| Practice Address |
6 Trail Rd Hurley NY 12443-5034 |
| Practice Telephone | 8458020230 |
| Mailing Telephone | 8458020230 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 1029485 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891354528 | Kristen Cannon | Physical Therapist | 10803 Falls Rd Ste 2100, Lutherville, MD 21093-4502 | 2019-06-06 |
| 1932660313 | Kristen Anne Cannon | Student in an Organized Health Care Education/Training Program | 1670 Upham Dr., Columbus, OH 43210 | 2019-03-27 |
| Street Address |
6 TRAIL RD |
| City | HURLEY |
| State | NY |
| Zip Code | 12443-5034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639489271 | Kerri Sullivan | Physical Therapist | 151 Fairway Drive, Hurley, NY 12443 | 2010-10-18 |
| 1942445713 | Eliza Marie Ranaud | Licensed Practical Nurse | 203 Shady Drive, Hurley, NY 12443 | 2008-12-09 |
| 1700954906 | Sawkill Family Medical Associates PC | Family Medicine | 501 Hurley Avenue, Hurley, NY 12443 | 2006-12-04 |
| 1083728604 | Never Alone Inc | Clinic/Center | 20 Crofts Road, Never Alone Inc, Hurley, NY 12443 | 2006-08-19 |
| 1619230232 | Victoria Theresa Loughlin | Specialist | 70 Kukuk Lane, Center for Spectrum Services, Kingston, NY 12443 | 2012-06-19 |
| 1407994916 | Michael L Safran | Family Medicine | 501 Hurley Avenue, Hurley, NY 12443 | 2007-02-05 |
| 1942378146 | Geraldine T Keyes | Family Medicine | 501 Hurley Avenue, Hurley, NY 12443 | 2006-12-04 |
| 1144510348 | Kathleen Marie Cole | Registered Nurse | 65 Main St, Pob 174, Hurley, NY 12443-5104 | 2011-04-10 |
| 1386964906 | Advanced Medical Solutions, Pllc | Psychiatry & Neurology | 455 Hillside Dr, Hurley, NY 12443-5217 | 2010-06-04 |
| 1497908941 | Eileen Beth Sandler | Speech-Language Pathologist | 163 Hilltop Dr, Hurley, NY 12443-5219 | 2008-10-28 |
| Find all providers in zip 12443 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639428170 | Alyssa Nichole Kitzman I | Licensed Practical Nurse | 4788 W. Center Dr., Hurley, WI 54534-9319 | 2012-08-30 |
| 1558625012 | Carol Ann Decker | Licensed Practical Nurse | 13965 N Stateline Rd, Hurley, WI 54534-9109 | 2012-06-29 |
| 1942445713 | Eliza Marie Ranaud | Licensed Practical Nurse | 203 Shady Drive, Hurley, NY 12443 | 2008-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| 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.