MR. JEREMY JON CANNON (NPI# 1578842258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578842258 |
| Entity Type | Individual |
| Full Name | MR. JEREMY JON CANNON |
| Practice Address |
5110 S Florida Ave Ste 105 Lakeland FL 33813-2517 |
| Practice Telephone | 8634509864 |
| Mailing Telephone | 8634509864 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social 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 |
| 1457628091 | Jeremy Cannon | Case Manager/Care Coordinator | 179 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2011-11-28 |
| Street Address |
5110 S FLORIDA AVE STE 105 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922278456 | Jacqueline J. Reycraft | Counselor | 5110 S Florida Ave Ste 105, Lakeland, FL 33813-2517 | 2008-03-12 |
| 1447763057 | Janet Allen | Social Worker | 5110 S Florida Ave Ste 105, Lakeland, FL 33813-2517 | 2017-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042644 | Masterpiece Counseling LLC | Counselor | 2420 N Crystal Lake Dr Ste 200, Lakeland, FL 33801-6205 | 2020-04-24 |
| 1609409705 | Sheryl Truluck East | Counselor | 80 Cypress Trl, Lakeland, GA 31635-5433 | 2020-02-17 |
| 1356808786 | Joseph Lee Kelly | Counselor | 900 Old Combee Rd Lot 86, Lakeland, FL 33805-9508 | 2019-02-21 |
| 1629518287 | Bruce Howard Garver | Counselor | 6324 Calusa Dr, Lakeland, FL 33813-3766 | 2017-03-01 |
| 1598115503 | Monica Chambers | Counselor | 2419 Buckingham Ave, Lakeland, FL 33803-3104 | 2016-06-21 |
| 1780040428 | Brittani F Munchel | Counselor | 4404 S Florida Ave Ste 2, Lakeland, FL 33813-2183 | 2016-01-11 |
| 1073901658 | Janet Ghent | Counselor | 5247 Quiet Creek Ln, Lakeland, FL 33811-2028 | 2015-01-05 |
| 1093138687 | Brenda Blockus | Counselor | 3726 Hampton Hills Dr, Lakeland, FL 33810-3867 | 2014-02-03 |
| 1528490893 | James Emory Welch Jr. | Counselor | 1512 Arthur Blvd, Lakeland, FL 33801-7112 | 2013-08-08 |
| 1982951844 | Sonja Orozco | Counselor | 5628 Woodwind Hills Dr, Lakeland, FL 33812-6324 | 2012-08-10 |
| Find all providers in LAKELAND | ||||
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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.