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JACQUELYN CANNON
NPI 1225996291
Speech-Language Pathologist in Chubbuck, ID

Active since January 09, 2026
240 W BURNSIDE AVE STE D, CHUBBUCK, ID 83202(208) 904-1112 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacquelyn Cannon NPPES

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

JACQUELYN CANNON (NPI 1225996291) is an individual speech-language pathologist provider in Chubbuck, Idaho, licensed in Idaho (5071179) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1225996291
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACQUELYN CANNON
Location Address240 W BURNSIDE AVE STE DChubbuck, ID 83202-4703
Mailing Address240 W Burnside Ave Ste DChubbuck, ID 83202-4703
Phone(208) 904-1112
Sole ProprietorYes
Enumeration DateJanuary 9, 2026
NPPES CertifiedJanuary 9, 2026
✔ NPI 1225996291 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 ID · 5071179
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.
240 W BURNSIDE AVE STE D, Chubbuck, ID 83202
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON GATES
Speech-Language Pathologist
240 W BURNSIDE AVE STE D
CHUBBUCK, ID 83202
Bannock County (205) 940-1112
KAYLA JUDY BOHMAN OT
Occupational Therapist
240 W BURNSIDE AVE STE D
CHUBBUCK, ID 83202
Bannock County (208) 904-1112
AMBER ROMRIELL M.S. CCC- SLP
Speech-Language Pathologist
240 W BURNSIDE AVE STE D
CHUBBUCK, ID 83202
Bannock County (208) 904-1112
MEGAN SANABIA O'BRIEN
Occupational Therapist
240 W BURNSIDE AVE STE D
CHUBBUCK, ID 83202
Bannock County (208) 904-1112
HANNAH'S PLACE LLC
Physical Therapist (Pediatrics)
240 W BURNSIDE AVE STE D
CHUBBUCK, ID 83202
Bannock County (208) 904-1112
TAYLOR ANNA ANDERSON MS, CCC-SLP
Speech-Language Pathologist
240 W BURNSIDE AVE STE D
CHUBBUCK, ID 83202
Bannock County (208) 904-1112
MRS. LAILA ANN OAKES SLP
Speech-Language Pathologist
240 W BURNSIDE AVE STE D
CHUBBUCK, ID 83202
Bannock County (208) 904-1112
JAMEY JOHNSON PT, DPT
Physical Therapist (Pediatrics)
240 W BURNSIDE AVE STE D
CHUBBUCK, ID 83202
Bannock County (208) 904-1112

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 Jacquelyn Cannon's NPI number?

The NPI number for Jacquelyn Cannon is 1225996291. It was assigned to this individual provider in the NPPES registry on January 9, 2026.

Where is Jacquelyn Cannon located?

Jacquelyn Cannon practices at 240 W Burnside Ave Ste D, Chubbuck, ID 83202. The listed phone number is (208) 904-1112.

What is Jacquelyn Cannon's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacquelyn Cannon was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.