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EMILY BORDELEAU CANNON RDN
NPI 1104432160
Dietitian, Registered in Rutherford College, NC

Active since September 16, 2020Accepts Medicare Assignment
721-D MALCOM BLVD, RUTHERFORD COLLEGE, NC 28671(828) 455-1699 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1104432160
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameEMILY BORDELEAU CANNONCredential: RDN
Location Address721-D MALCOM BLVDRutherford College, NC 28671
Mailing AddressPo Box 308Rutherford College, NC 28671-0308 · (828) 455-1699
Phone(828) 455-1699
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 16, 2020
NPPES CertifiedAugust 27, 2020
✔ NPI 1104432160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NC · 86119367
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X · License 86119367 (NC)
721-D MALCOM BLVD, Rutherford College, NC 28671
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9032538939
PECOS Enrollment IDI20200925001959

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.

Therapy procedure for nutrition management, each 15 minutes 97802
This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.
60 services16 patients

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.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

What insurance does Emily Cannon accept?

Health plans from Blue Cross and Blue Shield of NC list Emily Cannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 5 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.