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ADRIA CANNON STUDENT, PTA
NPI 1689258675
Student in an Organized Health Care Education/Training Program in Tacoma, WA

Active since May 06, 2021
2209 N 30TH ST STE 5, TACOMA, WA 98403(253) 446-7176 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2026, May 6, 2021 (2 updates tracked since 2021).

About Adria Cannon Student, Pta NPPES

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

ADRIA CANNON STUDENT, PTA (NPI 1689258675) is an individual student in an organized health care education/training program in Tacoma, Washington and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1689258675
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameADRIA CANNONCredential: STUDENT, PTA
Location Address2209 N 30TH ST STE 5Tacoma, WA 98403-3352
Mailing Address5620 112th St E Ste 215Puyallup, WA 98373-3206 · (206) 708-3850
Phone(253) 446-7176
Sole ProprietorNo
Enumeration DateMay 6, 2021
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1689258675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MHCA.MC.61309127 (WA)
Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License 60567605 (WA)
2209 N 30TH ST STE 5, Tacoma, WA 98403
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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 Adria Cannon's NPI number?

The NPI number for Adria Cannon is 1689258675. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Where is Adria Cannon located?

Adria Cannon practices at 2209 N 30th St Ste 5, Tacoma, WA 98403. The listed phone number is (253) 446-7176.

What is Adria Cannon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Adria Cannon was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.