TAMMY GALLAGHER CANNON


Address: 1501 Kings Hwy, Department of Neurosurgery, Shreveport, LA 71103-4228
Phone: 3186755161

TAMMY GALLAGHER CANNON (NPI# 1144598723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144598723
Entity Type Individual
Full Name TAMMY GALLAGHER CANNON
Other Name TAMMY L GALLAGHER
Credential F.N.P.
Practice Address 1501 Kings Hwy
Department of Neurosurgery
Shreveport
LA 71103-4228
Mailing Address Po Box 33932
Shreveport
LA 71130-3932
Practice Telephone 3186755161
Mailing Telephone 3186755161
Enumeration Date 2011-12-09
Last Update Date 2011-12-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN100005-AP06307 LA Physician Assistants & Advanced Practice Nursing Providers

Other Providers TAMMY CANNON

NPI Name Taxonomy Address Enumeration
1437574068 Tammy Mae Lynn Cannon Licensed Vocational Nurse 1904 Richland Ave, Suite A, Ceres, CA 95307-4562 2014-02-18

Office Location

Street Address 1501 KINGS HWY
DEPARTMENT OF NEUROSURGERY
City SHREVEPORT
State LA
Zip Code 71103-4228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801890769 F Dean Griffen Surgery 1501 Kings Hwy, Shreveport, LA 71103-4228 2005-06-09
1336747625 Lana Nasief Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-10-09
1558968834 Dinesh Regalla Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-10-08
1588261283 Divleen Sidhu Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-10-06
1023624517 Grace Hoffman Pharmacist 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-20
1194330761 Yousef Hasan Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-10
1790399277 Ricardo Murguia Fuentes Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-02
1013521509 Tahir Ahmad Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-02
1376155309 Ayesha Malik Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-08-20
1104438324 Elleny Gutierrez Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103 2020-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1336568823 Taylor Jieun Jung Student in an Organized Health Care Education/Training Program Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 2014-04-10
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518508282 Whitney Jackson Nurse Practitioner 1549 E 70th St Ste 300, Shreveport, LA 71105-5056 2019-10-03
1407322209 Tiffany Michelle Williams Nurse Practitioner 7551 Youree Dr, Shreveport, LA 71105-5533 2018-10-18
1801334453 Katoya Johnson Nurse Practitioner 1005 Quail Creek Rd Apt A, Shreveport, LA 71105-2310 2017-02-03
1023565298 Primary Care At Home of Louisiana, LLC Nurse Practitioner 6425 Youree Dr Ste 290, One Bellemead Center, Shreveport, LA 71105-4634 2016-09-06
1457546095 Julia B Henry Nurse Practitioner 2751 Albert L Bicknell Dr Ste 2d, Shreveport, LA 71103-3939 2007-09-06
1588867485 Donna Rogers Hewitt Nurse Practitioner 1800 E 70th St, Shreveport, LA 71105-5338 2007-06-07
1134215361 Angela Birdsong Fellows Nurse Practitioner 1666 E Bert Koun Loop, Shreveport, LA 71105-5714 2006-10-05
1942220959 Tammy Rene Bennett Nurse Practitioner 1525 Fairfield Ave Ste 569, Office of Public Health, Shreveport, LA 71101-4331 2006-07-20
1134149859 John Charles Charity Nurse Practitioner 503 Broadmoor Blvd, Shreveport, LA 71105-2023 2006-07-19
1144829540 Jenna Nicole Blundell Nurse Practitioner 1811 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105-5740 2020-10-19
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Competitor

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City SHREVEPORT
Zip Code 71103

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Dataset Information

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.

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