LISA CLAIRE CANNON (NPI# 1801965959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801965959 |
| Entity Type | Individual |
| Full Name | LISA CLAIRE CANNON |
| Credential | MS CCC A |
| Practice Address |
1600 Sutter Pl Clovis NM 88101-4611 |
| Mailing Address |
1427 Colonial Pkwy Clovis NM 88101-3107 |
| Practice Telephone | 5057694490 |
| Practice Fax Number | 5059350011 |
| Mailing Telephone | 5057421976 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 2459 | NM | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000Z7838 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326355462 | Lisa Cannon | Licensed Practical Nurse | 6555 Brooks Rd, Harrison, OH 45030-8927 | 2010-09-10 |
| 1952948200 | Lisa Cannon | Pharmacist | 1310 N Brazos St, Whitney, TX 76692-2010 | 2019-12-05 |
| 1861809832 | Lisa Cannon | Social Worker | 1265 N Bradford Dr, Delphi, IN 46923-9553 | 2014-07-22 |
| 1841450640 | Lisa Marie Cannon | Surgery | 5841 S Maryland Ave, Mc 5094, Chicago, IL 60637-1447 | 2008-06-15 |
| 1629249255 | Lisa Cannon | Dietitian, Registered | 115 W Silver St, Westfield, MA 01085-3628 | 2008-03-24 |
| 1548385354 | Lisa M. Cannon | Pediatrics | 541 High Street, Westwood, MA 02090 | 2007-03-20 |
| 1073562773 | Lisa M Cannon | Specialist | 110 Warren Ave, Ho Ho Kus, NJ 07423-1566 | 2006-05-09 |
| 1326005778 | Lisa Marie Cannon | Psychologist | 1 Northgate Sq, Greensburg, PA 15601-1341 | 2006-04-28 |
| Street Address |
1600 SUTTER PL |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215032784 | John Lester Collins | Psychologist | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2006-09-13 |
| 1467051060 | Audrey G Lietzke | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-23 |
| 1245839927 | Ofelma Soto Navarro | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-22 |
| 1801495577 | Diane Amanda Lukkar | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-22 |
| 1992304679 | Chelsey Lane Pena | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-22 |
| 1255930939 | Keitta Christine Torres | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-22 |
| 1154928604 | Angela N Lutz | Psychologist | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-07 |
| 1366049470 | Ashley N Curtis | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-02 |
| 1760099006 | Rozalyn Nicole Cox | Social Worker | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-09-30 |
| 1730710468 | Amy Laing | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497996185 | David Bowen | Audiologist | 420 Bullard Ave Ste 101, Clovis, CA 93612-1054 | 2009-03-10 |
| 1679606677 | Gwen Patriarca | Audiologist | 1600 Sutter Place, Student Support Center, Clovis, NM 88012-9000 | 2007-03-13 |
| 1881771855 | Vonda L Kittle | Audiologist | 1175 Shaw Ave, Suite 104, Pmb 106, Clovis, CA 93612-3932 | 2006-11-01 |
| 1508959560 | Beverly Elaine Riney Thering | Audiologist | 2905 N Prince St Ste A, Clovis, NM 88101-3843 | 2006-10-02 |
| 1144255472 | Robert B Reynolds | Audiologist | 420 Bullard Ave Ste 101, Clovis, CA 93612-1054 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844800 | National Hearing and Balance, LLC. | Audiologist | 6709 Academy Rd Ne Ste B, Albuquerque, NM 87109-3363 | 2019-07-29 |
| 1134643810 | Amp Audiology LLC | Audiologist | 1401 10th St Ste B, Alamogordo, NM 88310-5012 | 2017-08-03 |
| 1275909871 | Regents of New Mexico State University | Audiologist | 3600 Arrowhead Dr, Bldg 08, Las Cruces, NM 88011 | 2015-08-18 |
| 1992191100 | Lisa A Pulsipher Aud LLC | Audiologist | 7007 Wyoming Blvd Ne Ste B4, Albuquerque, NM 87109-3982 | 2015-04-14 |
| 1598155756 | Moumita Choudhury | Audiologist | 3600 Arrowhead Dr., Bldg. 08, Las Cruces, NM 88011-5129 | 2015-01-27 |
| 1508277971 | Jack Jones Hearing Center, Inc. | Audiologist | 5109 Coors Blvd Nw, Ste D, Albuquerque, NM 87120-1922 | 2014-05-19 |
| 1063720472 | Northland Hearing Centers Inc | Audiologist | 10000 Coors Blvd. Bypass Nw, Albuquerque, NM 87114 | 2010-09-20 |
| 1689903262 | Judith Carlson | Audiologist | 911 Richmond Dr Se, Albuquerque, NM 87106-2315 | 2009-12-10 |
| 1033342597 | Tracey Gallegos | Audiologist | 420 Ashley Ln, Corrales, NM 87048-8940 | 2009-09-01 |
| 1659501781 | Alegria Speech and Language Services LLC | Audiologist | 11005 Spain Rd Ne Ste 15, Albuquerque, NM 87111-1871 | 2009-07-23 |
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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.