MARISSA CANNON (NPI# 1366050809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366050809 |
| Entity Type | Individual |
| Full Name | MARISSA CANNON |
| Credential | WHNP |
| Practice Address |
15748 Medical Arts Dr Hammond LA 70403-1446 |
| Practice Telephone | 9855420663 |
| Mailing Telephone | 9855420663 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
211703 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15778 Medical Arts Dr, Hammond, LA 704031446 | 9855420663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659994 | Marissa Cannon | Behavior Technician | 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 | 2019-09-21 |
| Street Address |
15748 MEDICAL ARTS DR |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-1446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495665 | William Geyman Black | Obstetrics & Gynecology | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2005-05-24 |
| 1104223833 | Christina Clark Martin | Dietitian, Registered | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2014-11-24 |
| 1114279585 | Ideal Me of Hammond, LLC | Clinic/Center | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2012-10-10 |
| 1710239017 | North Oaks Obstetrics & Gynecology | Dietitian, Registered | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2012-10-10 |
| 1770858011 | Kimberly Nicole Hodge | Obstetrics & Gynecology | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2012-03-20 |
| 1528229309 | April Austin Sandifer | Obstetrics & Gynecology | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2008-06-24 |
| 1659427417 | Vickie Tessitore Matherne | Advanced Practice Midwife | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2007-01-26 |
| 1265585467 | Amy Priez Linn | Advanced Practice Midwife | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2007-01-19 |
| 1659313245 | North Oaks Obstetrics & Gynecology | Obstetrics & Gynecology | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2006-06-11 |
| 1104822782 | Dwan Shirmelle Mabry | Obstetrics & Gynecology | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2005-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053970558 | Trinity Walls | Nurse Practitioner | 7131 Indianapolis Blvd, Hammond, IN 46324-2220 | 2019-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349078 | Alysha Hinson | Nurse Practitioner | 1455 E Bert Kouns Industrial Loop Ste 306, Shreveport, LA 71105-5634 | 2020-02-27 |
| 1316591126 | Heather Jaet Simon | Nurse Practitioner | 113 Brewster Rd, Madisonville, LA 70447-9579 | 2019-07-30 |
| 1396233078 | Megan C Riley | Nurse Practitioner | 100 Womans Way Ste 407, Baton Rouge, LA 70817-5100 | 2018-04-27 |
| 1356759153 | Mary Tillman Acosta | Nurse Practitioner | 8001 Youree Dr Ste 320, Shreveport, LA 71115-2354 | 2014-07-24 |
| 1710226204 | Tara Rae Thompson | Nurse Practitioner | 5604 Coliseum Blvd Ste B, Alexandria, LA 71303-3993 | 2013-02-04 |
| 1942585591 | Iph, Slidel LLC | Nurse Practitioner | 2364 Gause Blvd E Ste 101, Slidell, LA 70461-4141 | 2011-10-14 |
| 1265725402 | Katherine Maranto Salley | Nurse Practitioner | 827 Margaret Pl, Suite 201, Shreveport, LA 71101-4523 | 2011-05-20 |
| 1225361827 | Paulette Guidry Landry | Nurse Practitioner | U L Lafayette Student Health, 120 Boucher Dr., Lafayette, LA 70504-0001 | 2009-09-14 |
| 1467695700 | Heather M Lenox | Nurse Practitioner | 4540 Amb Caffery Pkwy, Ste C 220, Lafayette, LA 70508-6928 | 2009-04-16 |
| 1447413828 | Monica Valenti Smith | Nurse Practitioner | 806-b Riverside Drive, Franklinton, LA 70438-3688 | 2008-07-07 |
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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.