KEISHA CRUM-CANNON (NPI# 1982082541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982082541 |
| Entity Type | Individual |
| Full Name | KEISHA CRUM-CANNON |
| Credential | CRNP |
| Practice Address |
106 W Myrtle Ave Foley AL 36535-1935 |
| Practice Telephone | 2519435437 |
| Practice Fax Number | 2519433227 |
| Mailing Telephone | 2519435437 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
1-132375 | AL | Nursing Service Providers |
| Street Address |
106 W MYRTLE AVE |
| City | FOLEY |
| State | AL |
| Zip Code | 36535-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134162571 | Harold R Reed IIi | Pediatrics | 106 W Myrtle Ave, Foley, AL 36535-1935 | 2006-06-14 |
| 1902362338 | Kelsey B Smith | Nurse Practitioner | 106 W Myrtle Ave, Foley, AL 36535-1935 | 2019-02-11 |
| 1164969895 | Dana Paris | Nurse Practitioner | 106 W Myrtle Ave, Foley, AL 36535-1935 | 2017-01-19 |
| 1235476938 | Georganna Pate | Nurse Practitioner | 106 W Myrtle Ave, Foley, AL 36535-1935 | 2013-01-15 |
| 1679795777 | South Baldwin Childrens Center PC | Pediatrics | 106 W Myrtle Ave, Foley, AL 36535-1935 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800273 | Symbol Health Solutions, L.lc. | Clinic/Center | 910 Vulcan St, Foley, AL 36535 | 2020-07-31 |
| 1437614245 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 2614 S. Mckenzie St., Foley, AL 36535 | 2019-02-06 |
| 1811471360 | Jenny Murphy Smith | Nurse Practitioner | 8158 State Hwy 59 #107, Foley, AL 36535 | 2018-09-20 |
| 1205337904 | Susan Denise Corbin | Social Worker | 623a West Laurel Aveune, Foley, AL 36535 | 2018-02-27 |
| 1841728904 | Candice Marie Osborne | Pharmacist | 2200 South Mckenzie Street, Foley, AL 36535 | 2017-06-01 |
| 1043760622 | Clay Dental | Dentist | 7801 Highway 59, Suite F, Foley, AL 36535 | 2016-10-07 |
| 1487063996 | Gulf Coast Specialty Pharmacy LLC | Pharmacy | 110-a East Azalea Ave, Foley, AL 36535 | 2014-08-08 |
| 1699180315 | Emerald Sands Medical Center | Clinic/Center | 8158 Us Hwy 59, Suite 107, Foley, AL 36535 | 2014-06-23 |
| 1134532807 | Allison Burgess | Nurse Practitioner | 8158 Us Highway 59, Suite 107, Foley, AL 36535 | 2014-06-10 |
| 1346675196 | Gary A. Eberly, Md PC | Pediatrics | 1090 E Laurel Ave., Foley, AL 36535 | 2013-09-12 |
| Find all providers in zip 36535 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682998 | Katie Ethridge Summers | Registered Nurse | 1107 Morning Sun Dr, Birmingham, AL 35242-2973 | 2019-11-06 |
| 1609375450 | Sarah Sherman Sparks | Registered Nurse | 1600 7th Ave S # Cppii230, Birmingham, AL 35233-1711 | 2018-02-07 |
| 1770940389 | Melodye M Harvey | Registered Nurse | 7430 East Dr, Montgomery, AL 36117-7088 | 2016-01-27 |
| 1225340946 | Jennifer Kreps Cupp | Registered Nurse | 1948 Alabama Highway 157, Suite 330 Cullman Medical and Pediatric Associates, P.c, Cullman, AL 35058-0643 | 2010-07-10 |
| 1588206064 | Rebekah Pierson Sims | Registered Nurse | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2019-10-16 |
| 1578025441 | Jaleesa Antoinette Miller | Registered Nurse | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2019-04-01 |
| 1952803843 | Maria Kathleen Calhoun | Registered Nurse | 815 Jackson Trace Rd, Wetumpka, AL 36092-1504 | 2018-03-06 |
| 1265814453 | Julie Bebawy | Registered Nurse | 111 Scouting Cir, Troy, AL 36081-2540 | 2015-06-24 |
| 1629461736 | Sarah Brooks | Registered Nurse | 930 20th St S, Birmingham, AL 35205-2610 | 2015-03-13 |
| 1407267388 | Carrie Godfrey Slavich | Registered Nurse | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2014-05-14 |
| 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.