IndividualActive
Jared Cannon
NPI 1114657202 · Case Management Registered Nurse · Boise, ID
Jared Cannon is a Case Management Registered Nurse provider in Boise, ID (NPI 1114657202).
Provider details
- NPI number
- 1114657202
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 50699 (ID)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
960 S Broadway Ave
Boise, ID 83706-3600
Phone: (208) 780-6255
Approximate (ZIP-level) locationGet directions
Mailing address
420 N James Rd
Columbus, OH 43219-1834
Registry dates
- Enumerated
- 2022-06-13
- Last updated
- 2022-06-13
- Certified
- 2022-06-13
Frequently asked questions
- What is Jared Cannon's NPI number?
- Jared Cannon's National Provider Identifier (NPI) is 1114657202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jared Cannon's specialty?
- Jared Cannon is listed in the NPPES registry with a primary specialty of Case Management Registered Nurse (Nursing Service Providers).
- Where is Jared Cannon located?
- Jared Cannon's practice location on file with NPPES is 960 S Broadway Ave, Boise, ID 83706-3600.
- What is Jared Cannon's phone number?
- The practice phone number listed in the NPPES registry for Jared Cannon is (208) 780-6255.
- Is Jared Cannon's NPI active?
- Yes — Jared Cannon's NPI (1114657202) is active in the NPPES registry as of the last update on 2022-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.