MRS. KAYE B CANNON (NPI# 1972561470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972561470 |
Entity Type | Individual |
Full Name | MRS. KAYE B CANNON |
Credential | OTRL CHT |
Practice Address |
1743 Cliff Gookin Blvd Tupelo MS 38801-6723 |
Practice Telephone | 6626805216 |
Practice Fax Number | 6626805217 |
Mailing Telephone | 6626805216 |
Mailing Fax Number | 6626805217 |
Enumeration Date | 2006-05-03 |
Last Update Date | 2019-02-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
OTO912 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 09788312 | 05 |
Street Address |
1743 CLIFF GOOKIN BLVD |
City | TUPELO |
State | MS |
Zip Code | 38801-6723 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881187417 | Cortni Cooper | Physical Therapist | 1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2018-06-08 |
1801205596 | Jason Anthony Vinson | Physical Therapist | 1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2014-08-06 |
1619381076 | Drayer Physical Therapy Mississippi LLC | Physical Therapist | 1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2014-06-13 |
1033455860 | Drayer Physical Therapy Institute LLC | Physical Therapist | 1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2012-12-26 |
1639325392 | Samuel Mcduffie | Physical Therapist | 1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2008-08-13 |
1952472219 | Mississippi Sport and Spine Rehabilitation | Physical Therapist | 1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2006-11-10 |
1285642371 | Louis Charles Remmers Jr. | Physical Therapist | 1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2006-08-04 |
1154339240 | Joseph John Elmer | Physical Therapist | 1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2006-08-04 |
1255349338 | Stacy Remmers Plaxico | Physical Therapist | 1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2006-08-04 |
1881602449 | Chad Barker | Specialist/Technologist | 1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2006-08-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
Find all providers in zip 38801 |
Taxonomy Code | 225XH1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Hand |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881076362 | Cody L Pounders | Occupational Therapist | 1211 S Gloster St Ste C, Tupelo, MS 38801-6548 | 2015-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427238195 | Memphis Hand Center | Occupational Therapist | 5699 Getwell Rd, Bldg E, Sutie 4, Southaven, MS 38672-7312 | 2007-11-09 |
1144400813 | Memphis Hand Center, Inc | Occupational Therapist | 156 Highway 51 S, Batesville, MS 38606-2552 | 2007-11-09 |
1932395878 | Prohealth Solutions, Inc | Occupational Therapist | 722 West Canal Street, Picayune, MS 39466 | 2007-09-24 |
1023055415 | Coast Hand Therapy, Inc. | Occupational Therapist | 1105 39th Ave, Gulfport, MS 39501-2654 | 2006-06-02 |
1669006102 | Alyssa Morgan Zelenka | Occupational Therapist | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2020-02-24 |
1588139521 | Carolyn Lawson | Occupational Therapist | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565-6771 | 2018-10-05 |
1427507037 | Ophelia Abrahams | Occupational Therapist | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 | 2016-09-23 |
1457476467 | Chanelle Alis Cooley | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-20 |
1265470744 | Joseph Albert Church IIi | Occupational Therapist | 1105 39th Ave, Gulfport, MS 39501-2654 | 2006-06-04 |
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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.