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KRISTINA MARIE CANNON
NPI 1003798729
Counselor - Professional in Butler, PA

Active since July 23, 2025PECOS Enrolled
211 FRANKLIN ST, BUTLER, PA 16001(724) 713-0975 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristina Marie Cannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINA MARIE CANNON (NPI 1003798729) is an individual professional provider in Butler, Pennsylvania, licensed in Pennsylvania (PC018887) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003798729
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRISTINA MARIE CANNON
Location Address211 FRANKLIN STButler, PA 16001-4812
Mailing Address211 Franklin StButler, PA 16001-4812 · (724) 713-0975 · Fax (724) 713-0975
Phone(724) 713-0975
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 23, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1003798729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC018887
211 FRANKLIN ST, Butler, PA 16001
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Marie Cannon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345716460
PECOS Enrollment IDI20260416002172
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristina Cannon's NPI number?

The NPI number for Kristina Cannon is 1003798729. It was assigned to this individual provider in the NPPES registry on July 23, 2025.

Where is Kristina Cannon located?

Kristina Cannon practices at 211 Franklin St, Butler, PA 16001. The listed phone number is (724) 713-0975.

What is Kristina Cannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kristina Cannon enrolled in Medicare?

Yes. Kristina Cannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristina Cannon was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.