MRS. SUSAN RAE CANNON (NPI# 1518132240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518132240 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN RAE CANNON |
| Credential | RN |
| Practice Address |
523 N Wind River Dr Douglas WY 82633-2027 |
| Practice Telephone | 3072596445 |
| Mailing Telephone | 3072596445 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 21546 | WY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609416965 | Susan Cannon | Behavior Technician | 10680 Treena Street Suite 170, San Diego, CA 92131 | 2020-01-14 |
| 1073906293 | Susan Lee Cannon | Nurse Anesthetist, Certified Registered | 2390 Palm Ter, Sarasota, FL 34231-4612 | 2015-03-12 |
| 1063559284 | Susan Cannon | Pediatrics | Center for Child Health and Development, 3901 Rainbow Blvd., Mail Stop 4003, Kansas City, KS 66160-0001 | 2007-01-30 |
| 1003904012 | Susan Strong Cannon | Pathology | 15 Summer Trace Blvd, Laurel, MS 39440-2510 | 2006-10-11 |
| 1356742688 | Susan Cannon | Specialist | 7000 Austin St, Suite 200, Forest Hills, NY 11375-1022 | 2014-09-05 |
| 1184057911 | Susan Magaret Cannon | Nurse Practitioner | 2100 35th Ave, Greeley, CO 80634 | 2013-08-15 |
| 1326323957 | Susan L Cannon | Pharmacist | 6920 Maynardville Hwy, Knoxville, TN 37918-5300 | 2011-10-14 |
| Street Address |
523 N WIND RIVER DR |
| City | DOUGLAS |
| State | WY |
| Zip Code | 82633-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710304399 | A Keeler Family Dental, LLC | Dentist | 1010 E Richards Street, Douglas, WY 82633 | 2014-03-21 |
| 1578836805 | Dawn Marie Marchak-cundy | Counselor | 1841 Madora Avenue, Douglas, WY 82633 | 2012-02-16 |
| 1982894739 | Tanisha Crystal Dexter | Pharmacist | 1202 East Richards Street, Douglas, WY 82633 | 2007-07-27 |
| 1669521324 | Stephan Paul Ediss | Chiropractor | 1330 E. Richards, Douglas, WY 82633 | 2007-01-10 |
| 1831280221 | Shauna R Kohler | Nurse Anesthetist, Certified Registered | 111 S 5th Street, Douglas, WY 82633 | 2006-09-28 |
| 1255438651 | County of Converse | Public Health or Welfare | 442 Center, Douglas, WY 82633 | 2006-09-20 |
| 1104834134 | Mark W Townsend | Dentist | 820 So 10th, Douglas, WY 82633 | 2006-08-04 |
| 1548206642 | Douglas Care Center, LLC | Skilled Nursing Facility | 1108 Birch, Douglas, WY 82633 | 2006-06-20 |
| 1023061223 | North Platte Physical Therapy Services Inc | Physical Therapist | Crook Co Memorial Serv Dist, Sundance, WY 82633 | 2006-05-18 |
| 1902447477 | Amanda Kay Dykes | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633 | 2019-10-04 |
| Find all providers in zip 82633 | ||||
| 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 |
|---|---|---|---|---|
| 1679081871 | Nicole Marie Vasquez | Registered Nurse | 1700 N Louis Ave, Douglas, AZ 85607-1835 | 2018-01-22 |
| 1457640567 | Shanna Lee Overstreet | Registered Nurse | 1117 Karen Ln, Douglas, GA 31533-3405 | 2011-03-30 |
| 1972636736 | Theresa Lydia Deroy | Registered Nurse | 753 Nw Main St, Douglas, MA 01516-2802 | 2007-03-13 |
| 1356401996 | Coffee County Board of Education | Registered Nurse | 1311 Peterson Ave S, Douglas, GA 31533-4401 | 2006-12-12 |
| 1679580898 | Becky D Carver | Registered Nurse | 1100 Ward St W, Douglas, GA 31533-1902 | 2006-08-01 |
| 1487209797 | Amanda Lane Endres | Registered Nurse | 1132 E 12th St, Douglas, AZ 85607-2337 | 2019-08-04 |
| 1184137333 | Aiiesa Gabriela Estrada | Registered Nurse | 1132 E 12th St, Douglas, AZ 85607-2337 | 2017-11-09 |
| 1295282374 | Julia Larez | Registered Nurse | 1132 E 12th St, Douglas, AZ 85607-2337 | 2016-09-06 |
| 1154509701 | Melony Cole-patterson | Registered Nurse | 1841 Madora Ave, Douglas, WY 82633-3057 | 2008-02-06 |
| 1013941525 | Mary L Humphrey | Registered Nurse | 1003 Shirley Ave, Douglas, GA 31533-2123 | 2006-07-10 |
| Find all providers in DOUGLAS | ||||
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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.