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

ANDREA MARIE CANNON
NPI 1639097348
Nurse Practitioner - Family in Owensboro, KY

Q: What is Andrea Cannon's NPI number?

The NPI number for Andrea Cannon is 1639097348. It was assigned to this individual provider in the NPPES registry on July 9, 2026.

Q: What is Andrea 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 Andrea Cannon was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 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 July 09, 2026

1020 BRECKENRIDGE ST, OWENSBORO, KY 42303(270) 688-3600 Get Directions Write a Review

NPPES record added: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andrea Marie Cannon NPPES

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

ANDREA MARIE CANNON (NPI 1639097348) is an individual family provider in Owensboro, Kentucky, licensed in Kentucky (4060738) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1639097348

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANDREA MARIE CANNON

Location Address1020 BRECKENRIDGE STOwensboro, KY 42303-0803

Mailing Address1020 Breckenridge StOwensboro, KY 42303-0803 · (270) 688-3600

Phone(270) 688-3600

Sole ProprietorNo

Enumeration DateJuly 9, 2026

NPPES CertifiedJuly 9, 2026

✔ NPI 1639097348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in KY · 4060738

Also ListedRegistered NurseTaxonomy 163W00000X · License 1180555 (KY)

1020 BRECKENRIDGE ST, Owensboro, KY 42303

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Other Providers at the Same Location NPPES 4

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

PATRICK ARTHUR NEWBURY MD

Radiology (Radiation Oncology)

1020 BRECKENRIDGE ST
OWENSBORO, KY 42303

Daviess County (270) 688-3600

RYAN J ABEL MD

Radiology (Radiation Oncology)

1020 BRECKENRIDGE ST
OWENSBORO, KY 42303

Daviess County (270) 688-3600

OWENSBORO CANCER CENTER PSC

Internal Medicine (Medical Oncology)

1020 BRECKENRIDGE ST, STE 200
OWENSBORO, KY 42303

Daviess County (270) 688-1900

OWENSBORO HEALTH MEDICAL GROUP INC

Radiology (Radiation Oncology)

1020 BRECKENRIDGE ST
OWENSBORO, KY 42303

Daviess County (270) 688-3600

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 Andrea Cannon's NPI number?

The NPI number for Andrea Cannon is 1639097348. It was assigned to this individual provider in the NPPES registry on July 9, 2026.

Where is Andrea Cannon located?

Andrea Cannon practices at 1020 Breckenridge St, Owensboro, KY 42303. The listed phone number is (270) 688-3600.

What is Andrea 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 Andrea Cannon was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 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.