COURTNEY LEIGH CANNON (NPI# 1174819759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174819759 |
| Entity Type | Individual |
| Full Name | COURTNEY LEIGH CANNON |
| Credential | BHRS |
| Practice Address |
1407 Se Monroe St Idabel OK 74745-6619 |
| Practice Telephone | 5806128045 |
| Practice Fax Number | 5802865185 |
| Mailing Telephone | 5806128045 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447645148 | Courtney Michelle Cannon | Counselor | 1611 Hider Ln, Clementon, NJ 08021-4825 | 2015-03-31 |
| 1487678124 | Courtney Cannon | Physician Assistant | 914 S 8th St, S100, Minneapolis, MN 55404-1210 | 2006-07-26 |
| Street Address |
1407 SE MONROE ST |
| City | IDABEL |
| State | OK |
| Zip Code | 74745-6619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957348 | Home Run Healthcare | Family Medicine | 1425 East Lincoln Road, Suite A-3, Idabel, OK 74745 | 2018-06-25 |
| 1720457203 | Leann Tomlinson | Registered Nurse | 2002 E Lincoln Rd, Idabel, OK 74745 | 2015-09-15 |
| 1659795508 | Laura Rush | Optometrist | 902 Lincoln Road, Idabel, OK 74745 | 2014-02-13 |
| 1619301116 | White River Home Health | Home Health | 2100 East Washington Street Ste D, Idabel, OK 74745 | 2013-09-03 |
| 1922440999 | John Phillip Stone Scoggin | Counselor | 111 Canterbury Lane, Idabel, OK 74745 | 2013-07-19 |
| 1841576725 | Ayesha Shante Wyatt | Nurse's Aide | 1800 Hillcrest, Idabel, OK 74745 | 2011-10-24 |
| 1154569457 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 6 Southeast Avenue A, Idabel, OK 74745 | 2009-01-26 |
| 1417103854 | John Hoskins | Internal Medicine | 902 Lincoln Rd, Choctaw Nation Health Clinic, Idabel, OK 74745 | 2008-08-18 |
| 1801077045 | Rhonda Cheryl Rodgers | Counselor | 104 Ne Ave A, Idabel, OK 74745 | 2007-11-15 |
| 1326241548 | Beverly Gayle Jasper-hayes | Counselor | 104 Ne A - Avenue, Idabel, OK 74745 | 2007-06-06 |
| Find all providers in zip 74745 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750654869 | Vamana, Inc. | Specialist | 1506 E Lincoln Rd, Idabel, OK 74745-7349 | 2012-02-21 |
| 1326269804 | Samuel Edward Clark | Specialist | 17 South Central Av., Idabel, OK 74745-4625 | 2007-05-01 |
| 1215980131 | Neon Clinic, Inc | Specialist | 1301 Lincoln Rd, Idabel, OK 74745-7300 | 2006-05-19 |
| 1457303430 | John H Migliaccio | Specialist | 1401 S Lynn Ln, Idabel, OK 74745-6859 | 2006-05-17 |
| 1922438761 | Cheryl Hall | Specialist | 17 S Central Ave, Idabel, OK 74745-4625 | 2013-11-14 |
| 1720334782 | Jennifer Nicole Skieens | Specialist | 17 S Central Ave, Idabel, OK 74745-4625 | 2012-07-27 |
| 1477849826 | Stacey Jo Jackson | Specialist | 17 S Central Ave, Idabel, OK 74745-4625 | 2011-06-23 |
| 1750518361 | David Earl Kemp | Specialist | 17 S Central Ave, Idabel, OK 74745-4625 | 2009-06-22 |
| 1023269164 | Deborah Annette Nelson | Specialist | 17 S Central Ave, Idabel, OK 74745-4625 | 2008-10-07 |
| 1871754762 | //brenda Kay Nelson | Specialist | 17 S Central Ave, Idabel, OK 74745-4625 | 2008-06-23 |
| Find all providers in IDABEL | ||||
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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.