Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BRENDA LEE BAUTISTA CANNON
NPI 1366340770
Nurse Practitioner - Family in Greenville, SC

Q: What is Brenda Lee Cannon's NPI number?

The NPI number for Brenda Lee Cannon is 1366340770. It was assigned to this individual provider in the NPPES registry on October 27, 2026.

Q: What is Brenda Lee Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Brenda Lee Cannon was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.

Active since October 27, 2026

16 MILLS AVE STE 6, GREENVILLE, SC 29605(864) 735-8080 Get Directions Write a Review

NPPES record added: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Brenda Lee Bautista Cannon NPPES

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

BRENDA LEE BAUTISTA CANNON (NPI 1366340770) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (APN.32372) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1366340770

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBRENDA LEE BAUTISTA CANNON

Location Address16 MILLS AVE STE 6Greenville, SC 29605-4065

Mailing Address16 Mills Ave Ste 6Greenville, SC 29605-4065

Phone(864) 735-8080

Sole ProprietorNo

Enumeration DateOctober 27, 2026

NPPES CertifiedOctober 27, 2026

✔ NPI 1366340770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · APN.32372

16 MILLS AVE STE 6, Greenville, SC 29605

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Other Providers at the Same Location NPPES 2

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

JAROD ROSS MOTLEY MD

Anesthesiology

16 MILLS AVE STE 6
GREENVILLE, SC 29605

Greenville County (864) 735-8080

MINDWELL LLC

Anesthesiology

16 MILLS AVE STE 6
GREENVILLE, SC 29605

Greenville County (864) 735-8080

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 Brenda Lee Cannon's NPI number?

The NPI number for Brenda Lee Cannon is 1366340770. It was assigned to this individual provider in the NPPES registry on October 27, 2026.

Where is Brenda Lee Cannon located?

Brenda Lee Cannon practices at 16 Mills Ave Ste 6, Greenville, SC 29605. The listed phone number is (864) 735-8080.

What is Brenda Lee Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Brenda Lee Cannon was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.