SARAH BRIGNOLE CANNON (NPI# 1952952467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952952467 |
| Entity Type | Individual |
| Full Name | SARAH BRIGNOLE CANNON |
| Credential | CPNP |
| Practice Address |
4440 W 95th St Oak Lawn IL 60453-2600 |
| Mailing Address |
2314 W Berwyn Ave Apt 1 Chicago IL 60625-1121 |
| Practice Telephone | 6304817915 |
| Mailing Telephone | 5138337228 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209018680 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS BOARD OF NURSING | 209018680 | 01 |
| IL | ILLINOIS BOARD OF NURSING-RN LICENSE | 041392684 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821319229 | Sarah Cannon | Dermatology | 2012 S Tollgate Rd Ste 206, Bel Air, MD 21015 | 2010-06-20 |
| 1134691934 | Sarah Cannon | Social Worker | 4 Atlantic St Sw, Washington, DC 20032-2350 | 2018-12-19 |
| 1003321209 | Sarah Jacquoline Cannon | Nurse Practitioner | 1477 Main St, Dunedin, FL 34698-6243 | 2017-12-10 |
| 1144601832 | Sarah Cannon | Dentist | 1108 Halle Park Cir, Collierville, TN 38017 | 2015-06-18 |
| 1063757300 | Sarah Canty Cannon | Dentist | 4500 Prison Rd, Marion, IL 62959-9011 | 2012-11-27 |
| Street Address |
4440 W 95TH ST |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805666 | Kenneth S. Toth | Anesthesiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2005-07-15 |
| 1821697392 | Marissa Vavra | Occupational Therapist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-25 |
| 1215535638 | Jarrod Siek Georgacakis | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-16 |
| 1396350708 | Crystal Oehmen | Radiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-09-11 |
| 1255943999 | Kristen Michele Hill | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-08-22 |
| 1033735295 | Thomas Panicucci | Registered Nurse | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-23 |
| 1538785407 | Amanda Thompson | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-17 |
| 1508481250 | Amy Marie Fader | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-09 |
| 1528680139 | Nader Hamzeh Darwish | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-18 |
| 1003438920 | Anna Manilla | Speech-Language Pathologist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164773743 | Meagan Murphy Weiss | Nurse Practitioner | 4400 95th Street, Oak Lawn, IL 60453 | 2012-09-24 |
| 1356839765 | Cali Arundel | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2018-05-01 |
| 1205341997 | Ruchi Saini | Nurse Practitioner | 4861 W 95th St, Oak Lawn, IL 60453 | 2017-12-05 |
| 1548787062 | Emily Ash Gallant | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2017-08-25 |
| 1508221003 | Sofia Mitchell | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2015-12-28 |
| 1265856264 | Lauren Ann Kriedemann | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2014-02-11 |
| 1649692435 | Stephanie Mensch | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2014-01-13 |
| 1760810535 | Elise Madeck Gentile | Nurse Practitioner | 4440 W 95th St, Suite 2177h, Oak Lawn, IL 60453-2600 | 2013-10-14 |
| 1780021535 | Amanda A Stump | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2013-06-03 |
| 1396189833 | Ashley Nicole Hutchinson | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2013-04-27 |
| Find all providers in OAK LAWN | ||||
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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.