MS. JENNIFER NICOLE CANNON (NPI# 1215295407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215295407 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER NICOLE CANNON |
| Credential | NP |
| Practice Address |
300 Pasteur Drive A157a Stanford CA 94305 |
| Mailing Address |
1804 Embarcadero Rd Suite 100 Palo Alto CA 94303-3341 |
| Practice Telephone | 6507234000 |
| Practice Fax Number | 6504985840 |
| Mailing Telephone | 6507234000 |
| Mailing Fax Number | 6504985840 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2015-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
21681 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | GV482Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515238 | Jennifer Cannon | Peer Specialist | 26110 White Sage Cove Ln, Spring, TX 77386-3944 | 2020-10-09 |
| 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 |
| Street Address |
300 PASTEUR DRIVE A157A |
| City | STANFORD |
| State | CA |
| Zip Code | 94305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619958998 | Eduardo Vicente Zambrano | Pathology | 300 Pasteur Drive, H1401 M/c 5324 Dept of Pathology, Stanford, CA 94305 | 2005-11-14 |
| 1912525254 | Leonid Chepelev | Radiology | 300 Pasteur Drive, S-072, Stanford, CA 94305-5105 | 2020-07-13 |
| 1861016156 | Ka Wing Calvin Tong | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Room Hc435, Stanford, CA 94305-5207 | 2020-06-02 |
| 1609498864 | Stephanie Reiter | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Stanford, CA 94305-2200 | 2020-05-11 |
| 1750902722 | Deidre Camille Ongaro | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Edwards Building, R309; Stanford University School of M, Stanford, CA 94305-4245 | 2020-05-01 |
| 1881213262 | Cierra S Hong | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Edwards Building R144, Stanford, CA 94305 | 2020-04-15 |
| 1346879855 | Kay Su Hung | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Rm H3591, Stanford, CA 94305-5641 | 2020-04-06 |
| 1649809203 | Jaspreet Pannu | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Lane 154, Stanford, CA 94305-5133 | 2020-04-06 |
| 1093344848 | Mallika Tamboli | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Lane 154, Stanford, CA 94305-5133 | 2020-04-03 |
| 1891323986 | Ryan S. Chiang | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Lane 154, Stanford, CA 94305-5133 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841296779 | Theresa Mallick-searle | Nurse Practitioner | 300 Pasteur Dr., Rm. H-3630, Stanford, CA 94305-5642 | 2005-06-24 |
| 1407391253 | Mary Jennifer Hoff | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2017-01-04 |
| 1396289070 | Kristin Danielle Kennedy | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2016-12-14 |
| 1679944615 | Erin Davis | Nurse Practitioner | 480 Oak Rd, Stanford, CA 94305-4507 | 2015-10-16 |
| 1780006916 | Gregory Smith Moran | Nurse Practitioner | 875 Blake Wilbur Drive, Clinic E, Stanford, CA 94305 | 2014-01-07 |
| 1407193386 | Jessie Denise Coty | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305-5820 | 2013-01-11 |
| 1619244480 | Donna Castelli Garay | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2011-11-22 |
| 1568766442 | Siok-hian Tay-kelley | Nurse Practitioner | 875 Blake Wilbur Drive, Gastrointestinal Oncology Stanford Cancer Center, Stanford, CA 94305-2205 | 2011-01-06 |
| 1134430135 | Matthew M Burke | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2010-06-24 |
| 1952621930 | Elika Rad | Nurse Practitioner | 300 Pasteur Dr, Chest Clinic, A293, Stanford, CA 94305-2200 | 2010-06-01 |
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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.