COURTNEY CANNON


Address: 914 S 8th St, S100, Minneapolis, MN 55404-1210
Phone: 6123475871

COURTNEY CANNON (NPI# 1487678124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487678124
Entity Type Individual
Full Name COURTNEY CANNON
Credential PA
Practice Address 914 S 8th St
S100
Minneapolis
MN 55404-1210
Mailing Address 914 S 8th St
Minneapolis
MN 55404-1210
Practice Telephone 6123475871
Enumeration Date 2006-07-26
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 10020 MN Physician Assistants & Advanced Practice Nursing Providers

Other Providers COURTNEY CANNON

NPI Name Taxonomy Address Enumeration
1174819759 Courtney Leigh Cannon Specialist 1407 Se Monroe St, Idabel, OK 74745-6619 2011-06-22
1447645148 Courtney Michelle Cannon Counselor 1611 Hider Ln, Clementon, NJ 08021-4825 2015-03-31

Office Location

Street Address 914 S 8TH ST
S100
City MINNEAPOLIS
State MN
Zip Code 55404-1210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033115118 Andrew H Schmidt Orthopaedic Surgery 914 S 8th St, Suite 600, Minneapolis, MN 55404-1210 2005-06-23
1568014033 Amy Skroch Nurse Practitioner 914 S 8th St, Minneapolis, MN 55404 2019-07-15
1588918015 Jessica Kuendig Social Worker 914 S 8th St, Suite S1-110, Minneapolis, MN 55404-1210 2012-11-06
1912111394 Wendy Lou St. Peter Pharmacist 914 S 8th St, Suite S-206, Minneapolis, MN 55404-1210 2007-05-09
1265657746 Hennepin Healthcare System Inc Durable Medical Equipment & Medical Supplies 914 S 8th St, Minneapolis, MN 55404-1204 2007-04-17
1932274164 Hennepin Faculty Associates Durable Medical Equipment & Medical Supplies 914 S 8th St, S600, Minneapolis, MN 55404-1210 2006-11-22
1720152390 Elizabeth B Sawinski Psychiatry & Neurology 914 S 8th St, S100, Minneapolis, MN 55404-1210 2006-11-17
1417047978 Fredric C Hall Psychiatry & Neurology 914 S 8th St, S100, Minneapolis, MN 55404-1210 2006-10-13
1932291424 Dolores Connoy Clinical Nurse Specialist 914 S 8th St, S100, Minneapolis, MN 55404-1210 2006-09-29
1841382330 Manasi Kolpe Psychiatry & Neurology 914 S 8th St, S100, Minneapolis, MN 55404-1210 2006-09-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568062461 Andrew Moe Counselor 2118 Blaisdell Ave S., Minneapolis, MN 55404 2020-10-29
1194368191 Luz Angelica Fehn Salinas Psychologist 1315 E24th St, Minneapolis, MN 55404 2019-10-22
1760969125 Bethany Karen Kenny Registered Nurse 910 E 26th St Ste 200, Minneapolis, MN 55404 2018-07-27
1225535701 Karissa Dougherty Nurse Practitioner 2200 E Franklin Ave # 199, Minneapolis, MN 55404 2018-04-10
1891299491 Guidance Home Health Care LLC Home Health 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 2018-03-20
1770085490 Bright Future Counseling Service, LLC Counselor 912 E. 24th St., Suite B215, Minneapolis, MN 55404 2018-03-08
1346754298 Juba Pharmacy Inc Pharmacy 1926 Chicago Ave S, Minneapolis, MN 55404 2017-11-29
1629597323 Kira Larson Fieldstrom Social Worker 2400 Blaisdell Ave., Minneapolis, MN 55404 2017-09-13
1770008930 Nicole Lynn Sparks Social Worker 2445 Park Avenue, Minneapolis, MN 55404 2017-08-09
1639612765 Cosmo Home Healthcare Services, L.L.C. Home Health 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 2016-11-21
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497354955 Sarah Marti Physician Assistant 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 2020-10-25
1679189021 Anne Elizabeth Drabot Physician Assistant 4741 Vincent Ave S, Minneapolis, MN 55410-1843 2020-09-21
1932714037 Kseniia Sosinovych Physician Assistant 615 E 16th St Apt 202, Minneapolis, MN 55404-1503 2020-09-15
1659986743 Collin Jeffery Barry Physician Assistant 2220 E Franklin Ave Apt 315, Minneapolis, MN 55404-2284 2020-09-15
1568077626 Alyssa Clements Physician Assistant 2211 Riverside Ave # 149, Minneapolis, MN 55454-1350 2020-09-14
1578178703 Nicholas H Sorenson Physician Assistant 129 Melbourne Ave Se Apt 2, Minneapolis, MN 55414-3515 2020-09-14
1861016743 Meredith Elise Lafond Physician Assistant 624 4th Ave Se Apt 2, Minneapolis, MN 55414-1625 2020-06-05
1477182053 Hannah Grace Johnson Physician Assistant 3437 Chicago Ave, Minneapolis, MN 55407-2107 2020-04-05
1851921431 Nasima Omar Physician Assistant 3321 Emerson Ave S, Minneapolis, MN 55408-3528 2020-01-22
1861022600 Jeremiah Malecek Physician Assistant 3755 Bryant Ave N, Minneapolis, MN 55412-2156 2020-01-21
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55404

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Dataset Information

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.

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