JEREMY CANNON (NPI# 1457628091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457628091 |
| Entity Type | Individual |
| Full Name | JEREMY CANNON |
| Practice Address |
179 S Parkside Dr Colorado Springs CO 80910-3130 |
| Mailing Address |
220 Ruskin Dr Colorado Springs CO 80910-2522 |
| Practice Telephone | 7195796100 |
| Mailing Telephone | 7195796150 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467824953 | Jeremy Doyle Cannon | Chiropractor | 704 E Arlington Blvd, Greenville, NC 27858-5809 | 2015-10-23 |
| 1952368136 | Jeremy Wynne Cannon | Surgery | 51 N 39th Street, Suite 120 Mob, Philadelphia, PA 19104 | 2006-04-29 |
| 1093175010 | Jeremy Cannon | Physical Therapy Assistant | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2016-03-03 |
| 1578842258 | Jeremy Jon Cannon | Counselor | 5110 S Florida Ave Ste 105, Lakeland, FL 33813-2517 | 2011-08-11 |
| Street Address |
179 S PARKSIDE DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80910-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225133432 | Stephen J Dutko | Pediatrics | 179 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2006-09-13 |
| 1255939724 | Louise Elizabeth Smith | Registered Nurse | 179 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2020-10-15 |
| 1609482561 | Leland Paul Reeck | Counselor | 179 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2020-09-16 |
| 1013547413 | Cynthia Lynnette Duncan | Registered Nurse | 179 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2020-01-24 |
| 1629613641 | Sunshyne Rae Fawkes | Counselor | 179 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2019-11-13 |
| 1801431382 | Aspenpointe Inc Dba Aspenpointe Health Services | Clinic/Center | 179 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2019-11-08 |
| 1407498983 | Lesley Ann Grandia | Social Worker | 179 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2019-10-16 |
| 1689137952 | Meagan Leigh Hastie | Registered Nurse | 179 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2019-04-12 |
| 1861950578 | Greg K Rodgers | Counselor | 179 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2019-03-12 |
| 1457817702 | Melissa Coleen Powell | Counselor | 179 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
| 1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
| 1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
| 1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
| 1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
| 1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
| 1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
| 1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
| 1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| Find all providers in zip 80910 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558903 | Marissa Faith Swearingen | Case Manager/Care Coordinator | 5809 Brave Eagle Dr, Colorado Springs, CO 80924-2011 | 2020-05-04 |
| 1780192989 | Child Community Services | Case Manager/Care Coordinator | 2210 E La Salle St # 108, Colorado Springs, CO 80909-2303 | 2018-01-22 |
| 1437578200 | Mary Loretta Swope | Case Manager/Care Coordinator | 6208 Lenman Drive, Colorado Springs, CO 80918 | 2014-04-09 |
| 1356762439 | Michell Tomala | Case Manager/Care Coordinator | 6208 Leahman Dr, Colorado Springs, CO 80918 | 2013-12-17 |
| 1497005987 | Kristen Henry | Case Manager/Care Coordinator | 6208 Lehman Drive, Colorado Springs, CO 80918 | 2012-09-12 |
| 1164772711 | Rebecca Yount | Case Manager/Care Coordinator | 6208 Lehman Drive Suite 317, Colorado Springs, CO 80918 | 2012-09-11 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| 1881943462 | Michael Cid | Case Manager/Care Coordinator | 1675 Garden of Gods Rd, Colorado Springs, CO 80907-9444 | 2012-08-29 |
| 1518231851 | Maryellen Benson | Case Manager/Care Coordinator | 2864 S Circle Dr Ste 620, Colorado Springs, CO 80906-4119 | 2012-03-05 |
| 1306315494 | Samantha Church | Case Manager/Care Coordinator | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903-3350 | 2018-11-18 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
Please comment or provide details below to improve the information on JEREMY CANNON.
| 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.