TAMIERE CANNON (NPI# 1972143238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972143238 |
Entity Type | Individual |
Full Name | TAMIERE CANNON |
Credential | CNA |
Practice Address |
3616 W A St Apt 1 Belleville IL 62226-6269 |
Practice Telephone | 7203097312 |
Mailing Telephone | 7203097312 |
Enumeration Date | 2020-01-14 |
Last Update Date | 2020-01-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
Street Address |
3616 W A ST APT 1 |
City | BELLEVILLE |
State | IL |
Zip Code | 62226-6269 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
Find all providers in zip 62226 |
Taxonomy Code | 156F00000X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
A broad category grouping different kinds of technologists and technicians. See individual definitions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528696119 | Timothy Niehaus | Technician/Technologist | 2058 N Cleveland Ave Apt 2, Chicago, IL 60614-7140 | 2020-03-30 |
1669012373 | Nancy Elizabeth Ottinger | Technician/Technologist | 1311 Adams St, Lake In The Hills, IL 60156-1041 | 2020-01-10 |
1619537347 | Tachandra Ohearn | Technician/Technologist | 1740 W 83rd St, Chicago, IL 60620-4623 | 2019-06-14 |
1760973325 | Mildred White | Technician/Technologist | 9343 S Sangamon St, Chicago, IL 60620-2734 | 2018-05-19 |
1659805521 | Malcolm Mandela Lee Sr. | Technician/Technologist | 48 Brook Park Ln, Park Forest, IL 60466-2642 | 2017-04-17 |
1104947316 | Jack Ching Shaw | Technician/Technologist | 2906 N Broadway St, Chicago, IL 60657-7163 | 2007-04-03 |
1801987367 | Arseneau Optical of Kankakee Inc | Technician/Technologist | 135 W Court St, Kankakee, IL 60901 | 2006-09-27 |
1225638877 | Christine Marie Desparrois | Technician/Technologist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-31 |
1417419045 | Latifa Omran | Technician/Technologist | 1400 W Park St, Urbana, IL 61801-2334 | 2019-04-02 |
1659854719 | Pamela Blalock | Technician/Technologist | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2018-09-13 |
Find all providers with the same taxonomy |
City | BELLEVILLE |
Zip Code | 62226 |
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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.