EMILY BORDELEAU CANNON RDN
NPI 1104432160
Dietitian, Registered in Rutherford College, NC
About Emily Bordeleau Cannon Rdn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY BORDELEAU CANNON RDN (NPI 1104432160) is an individual dietitian, registered in Rutherford College, North Carolina, licensed in North Carolina (86119367) and active in the NPI registry since September 2020. She is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Emily Bordeleau Cannon Rdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Emily Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Morganton, NC 28655
- Reassigned Medicare billing, North Carolina enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28671 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Emily Cannon's NPI number?
The NPI number for Emily Cannon is 1104432160. It was assigned to this individual provider in the NPPES registry on September 16, 2020.
Where is Emily Cannon located?
Emily Cannon practices at 721-D Malcom Blvd, Rutherford College, NC 28671. The listed phone number is (828) 455-1699.
What is Emily Cannon's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Emily Cannon enrolled in Medicare?
Yes. Emily Cannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Emily Cannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emily Cannon reassigns Medicare benefits to Burke Primary Care, LLC (Morganton, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Emily Cannon was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Emily Bordeleau Cannon, RDN · NPI 1104432160
Dietitian, Registered provider in Rutherford College, North Carolina. Individual provider, active in the CMS NPPES registry since September 16, 2020.
## Identity
- **NPI:** 1104432160 (Entity type: Individual)
- **Enumerated:** September 16, 2020
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 86119367 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 721-D MALCOM BLVD, Rutherford College, NC 28671
- **Phone:** (828) 455-1699
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Burke Primary Care, LLC (NPI 1225085707, Morganton, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1104432160) · Data from the CMS NPPES public registry.