STACEY L CANNON (NPI# 1497027197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497027197 |
| Entity Type | Individual |
| Full Name | STACEY L CANNON |
| Credential | RN |
| Practice Address |
5454 E State St Hermitage PA 16148-9441 |
| Practice Telephone | 7243462123 |
| Practice Fax Number | 7243460366 |
| Mailing Telephone | 7243462123 |
| Mailing Fax Number | 7243460366 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN502451L | PA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700304565 | Stacey Richelle Cannon | Massage Therapist | 32 Market Place, Big Sky, MT 59716 | 2017-08-31 |
| 1013217132 | Stacey Cannon | Counselor | 2008 Pacific Ave, Long Beach, CA 90806-4610 | 2010-10-22 |
| 1013246859 | Stacey Cannon | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2009-12-07 |
| Street Address |
5454 E STATE ST |
| City | HERMITAGE |
| State | PA |
| Zip Code | 16148-9441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891964193 | Diversified Family Services, Inc. | Community/Behavioral Health | 5454 E State St, Hermitage, PA 16148-9441 | 2008-02-21 |
| 1740790930 | Shalyn Marhel Martin | Licensed Practical Nurse | 5454 E State St, Hermitage, PA 16148-9441 | 2017-10-03 |
| 1396191599 | Victoria Miller | Licensed Practical Nurse | 5454 E State St, Hermitage, PA 16148-9441 | 2016-05-06 |
| 1881037026 | Janet Elaine Lunich | Licensed Practical Nurse | 5454 E State St, Hermitage, PA 16148-9441 | 2013-04-08 |
| 1699048462 | Yalanda Ann Currie | Licensed Practical Nurse | 5454 E State St, Hermitage, PA 16148-9441 | 2012-02-09 |
| 1427320464 | Deborah Darlene Gavins | Licensed Practical Nurse | 5454 E State St, Hermitage, PA 16148-9441 | 2012-02-07 |
| 1346511052 | Judith Laura Bowser | Licensed Practical Nurse | 5454 E State St, Hermitage, PA 16148-9441 | 2012-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571165 | Cassandra L Holder | Physical Therapist | 1559 N. Hermitage Rd, Hermitage, PA 16148 | 2020-09-01 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1336791318 | Catlyn Marie Joseph | Pharmacist | 1851 East State St, Rite Aid Store #10995, Hermitage, PA 16148 | 2019-07-10 |
| 1386203107 | Kaitlyn Mostard-smith | Physical Therapist | 1599 N. Hermitage Rd., Hermitage, PA 16148 | 2019-06-06 |
| 1770001513 | Lee Ann Hougelman | Licensed Practical Nurse | 5454 E. State St., Hermitage, PA 16148 | 2017-08-31 |
| 1194245001 | Samantha C Kilar | Audiologist | 1623 Dutch Lane, Hermitage, PA 16148 | 2017-06-21 |
| 1538419197 | Sharon Lynn Taylor | Physician Assistant | 480 N Kerrwood Dr Ste 103, Hermitage, PA 16148 | 2012-09-11 |
| 1912289638 | Amanda Jo Kline | Physical Therapy Assistant | 260 S Buhl Farm Drive, Whispering Oaks Suite 326, Hermitage, PA 16148 | 2011-09-20 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1386974673 | Susan Dawn Mehallick | Specialist/Technologist | 1005 Campus Circle, Hermitage, PA 16148 | 2010-01-08 |
| Find all providers in zip 16148 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957324 | Ashley Elizabeth Stevens | Registered Nurse | 412 Jameswood Ct, Hermitage, TN 37076-5717 | 2019-11-21 |
| 1316398019 | Mollie Lewis Lyon | Registered Nurse | 1919 Parkview Blvd, Hermitage, PA 16148-1578 | 2016-06-24 |
| 1699085332 | Nashville Midwifery Service | Registered Nurse | 5013 Sunset Way, Hermitage, TN 37076-4416 | 2010-10-15 |
| 1245417575 | Jennifer J Raleigh | Registered Nurse | 117 Summit Run Pl, Hermitage, TN 37076-4300 | 2008-01-29 |
| 1598817470 | Marsha Ann Landfried | Registered Nurse | 1175 Kelsey Drive, Hermitage, PA 16148-5421 | 2007-01-18 |
| 1225011059 | Suzanne M Dudash | Registered Nurse | 220 N Buhl Farm Dr, Hermitage, PA 16148-1786 | 2005-11-25 |
| 1801899729 | Linda W Mcmillan | Registered Nurse | 5653 Frist Blvd, Ste 738, Hermitage, TN 37076-2066 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437233 | Joseph O Ampong | Registered Nurse | 1037 Magee Ave, Philadelphia, PA 19111-4815 | 2020-11-05 |
| 1669072914 | Danielle Murphy | Registered Nurse | 65 Porter Dr, Jim Thorpe, PA 18229-9600 | 2020-10-27 |
| 1184223927 | Eric Narvaez Bedoya | Registered Nurse | 2201 Tremont St Apt 341, Philadelphia, PA 19115-5041 | 2020-10-22 |
| 1740889138 | Damiana Kniss | Registered Nurse | 107 Leila St, Johnstown, PA 15905-2739 | 2020-10-19 |
| 1043817646 | John Francis Cain | Registered Nurse | 319 Meadowlark Ave, Altoona, PA 16602 | 2020-10-06 |
| 1871100578 | Cynthia Currie | Registered Nurse | 806 Dohrman St, Mc Kees Rocks, PA 15136-2102 | 2020-09-26 |
| 1609482074 | Resurreccion Ortigas | Registered Nurse | 1332 Elbridge St, Philadelphia, PA 19111-5511 | 2020-09-21 |
| 1114533668 | Janette Bisnar Bediya | Registered Nurse | 2201 Tremont St Apt E341, Philadelphia, PA 19115-5091 | 2020-09-21 |
| 1841806247 | Kathryn Castro | Registered Nurse | 2301 Tremont St Apt I406, Philadelphia, PA 19115-5076 | 2020-09-21 |
| 1053927434 | Mary Ann Testado | Registered Nurse | 9219 Blue Grass Rd # Appt1, Philadelphia, PA 19114-4370 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STACEY L CANNON.
| 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.