JESSICA A CANNON (NPI# 1679586028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679586028 |
| Entity Type | Individual |
| Full Name | JESSICA A CANNON |
| Credential | ANP |
| Practice Address |
400 Palmetto Health Pkwy Columbia SC 29212-1760 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034346771 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1914 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP1514 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2669 Kinard St, Newberry, SC 291082911 | 8034057148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531169 | Jessica Cannon | Social Worker | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-06-04 |
| 1710426549 | Jessica Cannon | Physician Assistant | 17030 Lakeside Hills Plz, Suite 200, Omaha, NE 68130-2396 | 2017-02-13 |
| 1235586165 | Jessica Cannon | Physical Therapy Assistant | 4334 Fox Valley Center Dr, Aurora, IL 60504-7945 | 2016-05-20 |
| 1255606265 | Jessica Susan Cannon | Nurse Practitioner | 725 Welch Rd, 3 West, Palo Alto, CA 94304-1601 | 2012-03-09 |
| Street Address |
400 PALMETTO HEALTH PKWY |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-1760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063022440 | Aubrey Marie Kough | Dietitian, Registered | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2020-07-31 |
| 1689226557 | Anna Iliasova | Nurse Practitioner | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2019-07-11 |
| 1609437417 | Summer Noel | Nurse Practitioner | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2019-06-23 |
| 1841785938 | Laura Miller | Specialist/Technologist | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2018-06-29 |
| 1073001715 | Palmetto Health - University of South Carolina Medical Group | Allergy & Immunology | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2018-04-27 |
| 1316459027 | Matthew Ryan Dunkin | Pharmacist | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2017-11-03 |
| 1053791772 | Neda Azizzadeh | Internal Medicine | 400 Palmetto Health Pkwy, Columbia, SC 29212 | 2015-06-08 |
| 1538580584 | Prisma Health-midlands | General Acute Care Hospital | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2013-12-18 |
| 1407277551 | Prisma Health-midlands | General Acute Care Hospital | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2013-12-16 |
| 1871924035 | Prisma Health-midlands | General Acute Care Hospital | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2013-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| 1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
| 1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
| 1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
| 1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
| 1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
| 1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
| Find all providers in zip 29212 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841806551 | Pamela Louise Smith | Nurse Practitioner | 1605 E Broadway Ste 100, Columbia, MO 65201-8023 | 2020-09-17 |
| 1518572353 | Lucretia D Sanders | Nurse Practitioner | 4201 Grand St Apt L, Columbia, SC 29203-6668 | 2020-09-09 |
| 1629698485 | Abigayle Idora Colon | Nurse Practitioner | 55 Burnett Rd, Columbia, KY 42728-9441 | 2020-04-22 |
| 1245864321 | Mh Health Care Services, PC | Nurse Practitioner | 400 Laurel St Lowr Level, Columbia, SC 29201-2281 | 2020-02-27 |
| 1649801994 | Jennifer Turner | Nurse Practitioner | 1220 Hardison Rd, Columbia, TN 38401-1350 | 2020-01-27 |
| 1700429453 | Tyease Mosley | Nurse Practitioner | 4611 Hard Scrabble Rd Ste 189, Columbia, SC 29229-8584 | 2019-10-25 |
| 1164985834 | Rameka M Reed | Nurse Practitioner | 2301 Blue Ridge Ter, Columbia, SC 29203-1303 | 2019-04-10 |
| 1366917924 | Brittney Nichole Frazier | Nurse Practitioner | 3020 Sunset Blvd West Columbia Sc 29169, Columbia, SC 29203-2920 | 2018-10-10 |
| 1295224871 | Palmetto Health - University of South Carolina Medical Group | Nurse Practitioner | 2113 Adams Grv Ste 200, Columbia, SC 29203-6957 | 2018-05-09 |
| 1730698580 | Jennifer Moon Bailey | Nurse Practitioner | 237 Longtown Rd, Columbia, SC 29229-8550 | 2017-09-25 |
| Find all providers in COLUMBIA | ||||
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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.