Allie Marie Cannon is a Physician Assistant practicing in Ogden, Utah. The National Provider Identifier (NPI) is #1871398891, which was assigned on February 14, 2025, and the registration record was last updated on May 23, 2025. The practitioner's main practice location is at 3875 Stadium Way Dept 3901, Ogden, UT 84408-3901; the contact telephone number is 8016267210. The primary taxonomy of Allie Marie Cannon is Physician Assistant (363A00000X). Allie Marie Cannon is licensed to practice in the state of Utah (#14198438-1206).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
| NPI | 1871398891 |
| Entity Type | Individual |
| Provider Name | ALLIE MARIE CANNON |
| Gender | Female |
| Credential | PA-C |
| Practice Address |
3875 Stadium Way Dept 3901 Ogden UT 84408-3901 |
| Practice Telephone | 8016267210 |
| Mailing Address |
3875 Stadium Way Dept 3901 Ogden UT 84408-3901 |
| Mailing Telephone | 8016267210 |
| Certification Date | 2025-05-23 |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-05-23 |
| Is Sole Proprietor | N |
| PAC ID |
6103330345 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | ALLIE MARIE CANNON |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Address |
1208 King St Suite 405 Chattanooga TN 37403-4352 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 14198438-1206 | UT |
| Address | Telephone | Fax |
|---|---|---|
| 4403 Harrison Blvd Ste 4410, Ogden, UT 844033323 | 8013872750 |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Lauren Pinelli | 1215 Lee St, Charlottesville, VA 22908-0816 | Physician Assistant | 2025-09-06 |
| Ashley Nichole Rhoads | 992 Elmer Prince Dr, Morgantown, WV 26505-3997 | Physician Assistant | 2025-09-06 |
| Ryan Popp | 3399 Trindle Rd, Camp Hill, PA 17011-4407 | Physician Assistant | 2025-09-05 |
| Meriah Rose Hawkinson | 312 Prince St, Sevierville, TN 37862-3823 | Physician Assistant | 2025-09-05 |
| Charles Ibeziako | 1515 E Columbia St, Othello, WA 99344-1846 | Physician Assistant | 2025-09-06 |
| Delaney Patricia Cutter | 500 University Dr, Hershey, PA 17033-2360 | Physician Assistant | 2025-09-05 |
| Christa Flowers-Rouse | Dumc Box 102352, 10 Duke Medicine Circle, Durham, NC 27710 | Physician Assistant | 2025-09-06 |
| Abdualrahman Musa | 100 Amador St, Staten Island, NY 10303-1797 | Physician Assistant | 2025-09-06 |
| Tamnhu Bui | 101 Elm Ave Se, Roanoke, VA 24013-2222 | Physician Assistant | 2025-09-06 |
| Alexandra Mccann | 1211 Oak Harbor Ct, Pasadena, MD 21122-5358 | Physician Assistant | 2025-09-06 |
| Find all providers with the same taxonomy | |||
| Street Address |
3875 STADIUM WAY DEPT 3901 |
| City | OGDEN |
| State | UT |
| Zip Code | 84408-3901 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Megan Rich Gray | 3959 Stadium Way, Ogden, UT 84408-3901 | Physician Assistant | 2019-06-14 |
| Alyssa Mendoza | 3959 Stadium Way Dept 3913, Ogden, UT 84408-3901 | Physician Assistant | 2025-06-04 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Taelyn Cardenas | 3959 Stadium Way, Ogden, UT 84408-0001 | Student in an Organized Health Care Education/Training Program | 2025-09-02 |
| Sophia Klein | Weber State University 3959 Stadium Way, Ogden, UT 84408-0001 | Student in an Organized Health Care Education/Training Program | 2025-08-28 |
| Adriana Paola Milla | 3959 Stadium Way, Ogden, UT 84408-0001 | Student in an Organized Health Care Education/Training Program | 2025-09-01 |
| Marlene Stephani | 3959 Stadium Way, Ogden, UT 84408-0001 | Student in an Organized Health Care Education/Training Program | 2025-08-29 |
| Kyalee Jade Vandam | 3959 Stadium Way, Ogden, UT 84408-0001 | Student in an Organized Health Care Education/Training Program | 2025-09-02 |
| Alexis Meredith | 3992 Central Campus Drive Dept 3504, Ogden, UT 84408-0001 | Athletic Trainer | 2024-01-09 |
| Mary Madsen | 3848 Harrison Boulevard, Ogden, UT 84408-0001 | Student in an Organized Health Care Education/Training Program | 2025-05-12 |
| Madison Hogge Killpack | Weber State University 3875 Stadium Way Dept 3913, Ogden, UT 84408-0001 | Physician Assistant | 2025-09-02 |
| Tara Lyn Rhodes | Marriott Health Building 3875 Stadium Way Dept 3903, Ogden, UT 84408-0001 | Registered Nurse | 2024-01-10 |
| Kendal Swertfeger · Kendal Gillespie | 3959 Stadium Way, Ogden, UT 84408-0001 | Student in an Organized Health Care Education/Training Program | 2025-09-06 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Allie Wallace · Allie Loftesness | 2401 Gillham Rd, Kansas City, MO 64108-4619 | Pediatrics Physician | 2025-03-25 |
| Allie Bierling · Allie Siegler | 7895 Currier Dr, Portage, MI 49002-4314 | Behavioral Analyst | 2019-01-29 |
| Allie Oplinger · Allie Vandenberge | 5919 S Remington Pl Ste 200, Sioux Falls, SD 57108-5266 | Physician Assistant | 2018-07-24 |
| Allie Kosena · Allie Roberts | 11209 N Tatum Blvd Ste 255, Phoenix, AZ 85028-6061 | Registered Nurse | 2025-02-04 |
| Anthony Cannon · Tony Cannon | 548 Se Jackson St, Roseburg, OR 97470-4983 | Mental Health Counselor | 2025-06-10 |
| Allie Marie Lapenotiere · Allie Marie Curtis | 1001 Highway 7 Ste 309, Hopkins, MN 55305-4737 | Professional Counselor | 2024-12-18 |
| Allie Therese Thornburg · Allie Therese Funke | 1500 Associates Dr, Dubuque, IA 52002-2201 | Medical Physician Assistant | 2020-03-25 |
| Allie Gavin · Allie Iserloth | 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 | Social Worker | 2021-02-02 |
| Allie Katheryn Oman · Allie Katheryn Duttry | 100 N Academy Ave, Danville, PA 17822-0001 | Registered Dietitian | 2022-06-17 |
| Allie Marie Evink | 4215 31st Ave S Ste A, Fargo, ND 58104-7743 | Specialist | 2024-02-13 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |