CARLISSA CANNON (NPI# 1255864476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255864476 |
| Entity Type | Individual |
| Full Name | CARLISSA CANNON |
| Practice Address |
6810 Clement Ave Cleveland OH 44105-4939 |
| Practice Telephone | 2168564759 |
| Mailing Telephone | 2168564759 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
501134280606 | OH | Nursing Service Providers |
| Street Address |
6810 CLEMENT AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44105-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525340 | Horitta R Yelder | Nurse's Aide | 11305 Olney Ct., Cleveland, OH 44105 | 2019-12-13 |
| 1063982643 | Jasmine Harris | Case Manager/Care Coordinator | 6410 S Broadway, Lorain, OH 44105 | 2018-11-27 |
| 1629596556 | Amber M Stinnett | Licensed Practical Nurse | 11322 Matilda Ave., Cleveland, OH 44105 | 2017-08-30 |
| 1154848752 | Latisha A Coleman | Homemaker | 4151 East 106st, Cleveland, OH 44105 | 2017-08-24 |
| 1235651605 | Christina Roberson | Nurse's Aide | 3525 E.106 St, Cleveland, OH 44105 | 2017-07-07 |
| 1982139457 | Robert Lucas | Homemaker | 9122 Miles, Cleveland, OH 44105 | 2017-04-21 |
| 1154719243 | Sabrina L Kirksey | Driver | 7414 Park Avenue, Cleveland, OH 44105 | 2014-12-26 |
| 1518379643 | Hope Academy Northcoast Campus | Local Education Agency (LEA) | 4310 E. 71st Street, Cleveland, OH 44105 | 2014-05-23 |
| 1366853301 | Gabrielle Baker | Contractor | 4071 E. 59th St., Cleveland, OH 44105 | 2014-05-13 |
| 1407266174 | Hermine Christine Terry | Nurse's Aide | 4096 E. 81 Street, Cleveland, OH 44105 | 2014-05-05 |
| Find all providers in zip 44105 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123547 | Lawanda Norton | Registered Nurse | 3119 Project Ave, Cleveland, OH 44115-3030 | 2020-01-22 |
| 1730653783 | Miranda Jost | Registered Nurse | N9548 Highway 42, Cleveland, WI 53015-1628 | 2019-01-13 |
| 1356810238 | Tomarah Starr Medley | Registered Nurse | 3425 E 72nd St, Cleveland, OH 44127-2008 | 2018-11-20 |
| 1174046304 | Sunbeam Healthcare LLC | Registered Nurse | 1004 N Broadway St Ste E, Cleveland, OK 74020-1241 | 2017-07-19 |
| 1467909945 | Jacinda Wilson | Registered Nurse | 517 East 120 St.clair, Cleveland, OH 44108-1845 | 2016-09-01 |
| 1962875377 | Peter Tsai | Registered Nurse | 2999 Payne Ave, #132, Cleveland, OH 44114-4400 | 2015-11-06 |
| 1861890774 | Danielle Wright | Registered Nurse | 7700 Woodland Ave, K2, Cleveland, OH 44104-3069 | 2014-12-09 |
| 1295174787 | Leslie E Howard | Registered Nurse | 540 E 105th St Ste 310, Cleveland, OH 44108-4301 | 2013-06-18 |
| 1124383096 | Sabrina R Phifer | Registered Nurse | 3448 Berea Rd, Cleveland, OH 44111-2417 | 2012-07-06 |
| 1184946105 | Umma K. Laryea | Registered Nurse | 10839 Drexel Ave, Cleveland, OH 44108-3608 | 2010-02-17 |
| Find all providers in CLEVELAND | ||||
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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.