JEREMIAH CANNON (NPI# 1629518220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629518220 |
| Entity Type | Individual |
| Full Name | JEREMIAH CANNON |
| Credential | FNP |
| Practice Address |
1125 Charles Ave Worland WY 82401-4021 |
| Mailing Address |
1503 Coburn Ave Worland WY 82401-3611 |
| Practice Telephone | 3073472449 |
| Practice Fax Number | 3078645226 |
| Mailing Telephone | 3039819215 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
25938.1600 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1125 CHARLES AVE |
| City | WORLAND |
| State | WY |
| Zip Code | 82401-4021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457396962 | Keristyn J Carrell | Nurse Practitioner | 1125 Charles Ave, Worland, WY 82401-4021 | 2006-06-18 |
| 1225666332 | Hot Springs County Hospital District | Clinic/Center | 1125 Charles Ave, Worland, WY 82401-4021 | 2020-04-01 |
| 1255824900 | Caitlin Herdrick | Occupational Therapist | 1125 Charles Ave, Worland, WY 82401-4021 | 2018-06-07 |
| 1154836617 | Cowboy Medical Group PC | Family Medicine | 1125 Charles Ave, Worland, WY 82401-4021 | 2017-12-06 |
| 1811401821 | Cowboy Medical Group PC | Family Medicine | 1125 Charles Ave, Worland, WY 82401-4021 | 2017-11-29 |
| 1528500683 | Tess Williams | Physical Therapist | 1125 Charles Ave, Worland, WY 82401-4021 | 2016-11-07 |
| 1023247624 | Red Rock Family Practice, Inc | Clinic/Center | 1125 Charles Ave, Worland, WY 82401-4021 | 2009-07-06 |
| 1932338530 | Red Rock Family Practice, Inc | Clinic/Center | 1125 Charles Ave, Worland, WY 82401-4021 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284107 | Margaret Joan Mcdaniel | Registered Nurse | 1910 Sage Crossing Ave, Worland, WY 82401 | 2020-01-09 |
| 1902365240 | Worland Pharmacy Inc. | Pharmacy | 1095 Circle Rd, Worland, WY 82401 | 2019-03-17 |
| 1023547155 | Deborah J Anderson | Counselor | 401 South 23rd St, Worland, WY 82401 | 2017-06-12 |
| 1265808273 | Tang Mo Wong | Occupational Therapist | 1910 Howell Avenue, Worland, WY 82401 | 2015-08-12 |
| 1063783389 | William Jonas Tempany | Counselor | 406 S 6, Basin, WY 82401 | 2012-01-18 |
| 1609009133 | Sharon Eisele | Case Manager/Care Coordinator | 1216 Ti Bi Yek, Worland, WY 82401 | 2009-09-01 |
| 1295997013 | Benjamin B Wilde | Family Medicine | 1405 Howell, Worland, WY 82401 | 2008-07-02 |
| 1134390552 | Linda Kay Hausner | Registered Nurse | 401 South 23rd Street, 401 South 23rd Street, Worland, WY 82401 | 2008-03-13 |
| 1033302047 | Lisa Anne Stephens | Physical Therapist | 1313 Big Horn Ave, Worland, WY 82401 | 2007-08-22 |
| 1316147952 | Jeffries Dental, P.C. | Dentist | 3313 Paintbrush Lane, Worland, WY 82401 | 2007-07-23 |
| Find all providers in zip 82401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114462124 | Sarah-anne Victoria Galloway | Nurse Practitioner | 1123 Big Horn Ave Ste C, Worland, WY 82401-2814 | 2016-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012383 | Susan M. Miner | Nurse Practitioner | 487 N. Main St. #2, Thayne, WY 83127 | 2020-10-27 |
| 1922606177 | Crysta Jean Sullivan | Nurse Practitioner | 2401 Greenway Dr, Gillette, WY 82716-2333 | 2020-10-10 |
| 1245844463 | Lara Vanden Hoek | Nurse Practitioner | 3339 Hales Ranch Rd, Cheyenne, WY 82007-1825 | 2020-09-04 |
| 1417560020 | Camlyn Dunn | Nurse Practitioner | 17985 Us Highway 14, Moorcroft, WY 82721-8814 | 2020-08-25 |
| 1649897406 | Anne Barnes | Nurse Practitioner | 4003 Rawlins St Ste A, Cheyenne, WY 82001-1800 | 2020-06-28 |
| 1548882343 | Evolving Ehealth LLC | Nurse Practitioner | 1309 Coffeen Ave Ste 1200, Sheridan, WY 82801-5777 | 2020-05-14 |
| 1316578826 | Karen Ann Alexander | Nurse Practitioner | 921 S Ballancee Ave, Lusk, WY 82225 | 2020-02-03 |
| 1801436274 | Susan Ranea Roberson | Nurse Practitioner | 69 Valley Dr, Casper, WY 82604-4011 | 2020-01-13 |
| 1497390017 | William Carey Lake | Nurse Practitioner | 1025 Jade Drivee, Hanna, WY 82327-8232 | 2019-11-07 |
| 1184266058 | Kelsie Anderson | Nurse Practitioner | 1423 W 31st St, Cheyenne, WY 82001-2458 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
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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.