LACEY JO CANNON
NPI 1811609167
Home Health Aide in Keyser, WV

Active since December 19, 2022
1952 NEW CREEK HWY, KEYSER, WV 26726(304) 597-1258 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lacey Jo Cannon NPPES

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

LACEY JO CANNON (NPI 1811609167) is an individual home health aide in Keyser, West Virginia, licensed in West Virginia (70974) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1811609167
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameLACEY JO CANNON
Location Address1952 NEW CREEK HWYKeyser, WV 26726-7494
Mailing Address1952 New Creek HwyKeyser, WV 26726-7494 · (304) 597-3522
Sole ProprietorNo
Enumeration DateDecember 19, 2022
NPPES CertifiedDecember 6, 2022
NPI 1811609167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License Licensed in WV · 70974
Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

1952 NEW CREEK HWY, Keyser, WV 26726

Other Identifiers 1

Medicaid70974WV

Other Providers at the Same Location NPPES 17

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

Home Health Aide
1952 NEW CREEK HWY
KEYSER, WV 26726
Licensed Practical Nurse
1952 NEW CREEK HWY
KEYSER, WV 26726
Registered Nurse (Home Health)
1952 NEW CREEK HWY
KEYSER, WV 26726
Registered Nurse (Hospice)
1952 NEW CREEK HWY
KEYSER, WV 26726
Physical Therapy Assistant
1952 NEW CREEK HWY
KEYSER, WV 26726
Registered Nurse (Home Health)
1952 NEW CREEK HWY
KEYSER, WV 26726
Registered Nurse
1952 NEW CREEK HWY
KEYSER, WV 26726
Home Health
1952 NEW CREEK HWY
KEYSER, WV 26726

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 Lacey Cannon's NPI number?

The NPI number for Lacey Cannon is 1811609167. It was assigned to this individual provider in the NPPES registry on December 19, 2022.

Where is Lacey Cannon located?

Lacey Cannon practices at 1952 New Creek Hwy, Keyser, WV 26726. The listed phone number is (304) 597-1258.

What is Lacey Cannon's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Lacey Cannon was last updated on December 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.