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NATHALIA KALENA CANNON MS
NPI 1164234589
Speech-Language Pathologist in Raleigh, NC

Active since January 22, 2025Accepts Medicare Assignment
178 MINE LAKE CT STE 100, RALEIGH, NC 27615(336) 430-8096 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nathalia Kalena Cannon Ms NPPES

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

NATHALIA KALENA CANNON MS (NPI 1164234589) is an individual speech-language pathologist provider in Raleigh, North Carolina, licensed in North Carolina (30003885) and active in the NPI registry since January 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1164234589
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameNATHALIA KALENA CANNONCredential: MS
Location Address178 MINE LAKE CT STE 100Raleigh, NC 27615-6417
Mailing Address3403 Scenic Club Dr Apt 3403Cary, NC 27519-7811 · (828) 838-9076
Phone(336) 430-8096
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 22, 2025
Last NPPES UpdateMay 15, 2025
NPPES CertifiedMay 15, 2025
✔ NPI 1164234589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NC · 30003885
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
178 MINE LAKE CT STE 100, Raleigh, NC 27615
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathalia Kalena Cannon Ms 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 ID5193201713
PECOS Enrollment IDI20260113002411

Medicare Billing Reassignment

Medicare enrollment records show Nathalia Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Expressable Speech-Language Pathology, P.C.
1,170 mi
Speech-Language Pathologist
3800 N LAMAR BLVD STE 200
Austin, TX 78756
  • Reassigned Medicare billing, California and North Carolina enrollments
  • Medicare enrollment name: Expressable Speech-Language Pathology PC
  • 179 clinicians in this Medicare group
NPI 1649875857 (512) 377-6318

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nathalia Cannon's NPI number?

The NPI number for Nathalia Cannon is 1164234589. It was assigned to this individual provider in the NPPES registry on January 22, 2025.

Where is Nathalia Cannon located?

Nathalia Cannon practices at 178 Mine Lake Ct Ste 100, Raleigh, NC 27615. The listed phone number is (336) 430-8096.

What is Nathalia Cannon's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Nathalia Cannon enrolled in Medicare?

Yes. Nathalia 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 Nathalia Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathalia Cannon reassigns Medicare benefits to Expressable Speech-Language Pathology, P.C. (Austin, TX). 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 Nathalia Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathalia Cannon accept?

Health plans from Blue Cross and Blue Shield of NC list Nathalia 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 Nathalia Cannon was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.