Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265084263 Individual Practitioner Female Practitioner

Christina L Cannon , RADT

Peer Specialist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Christina Cannon, RADT is a registered healthcare professional specializing in Peer Specialist in Bend, OR. Practice services are available at 63311 JAMISON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

63311 Jamison St

Bend, OR 977038288

Telephone 5413327500
Fax 5413227565
Associated Practice Facility / Clinic
🏢 Deschutes County Oregon Facility NPI 1023056017

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
168 Specialists

Practicing in Bend, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-05-04
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License CA R1353740719

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Joanne White

Counselor - Mental Health

NPI 1003101395
Lindsey Hurtado

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003500836
Heather Welker , OT

Occupational Therapist

NPI 1003949140

Occupational Therapist

Tania Kneuer , OTL ASDCS

Occupational Therapist - Mental Health

NPI 1013064633

OTLASDCS

Emma Anderson , LCSW

Social Worker - Clinical

NPI 1023459591

Licensed Clinical Social Worker

Trent Morrell

Case Manager/Care Coordinator

NPI 1023647807

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 04, 2022

Registered at 63311 JAMISON ST, BEND, OR 977038288 (Tel: 5413327500)

📍
Updated Business Mailing Address May 04, 2022

Registered at 2577 NE COURTNEY DR, BEND, OR 977017752 (Tel: 5413327500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2022

Peer Specialist

NPI Profile Active July 10, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2019

Registered at 180 SIERRA COLLEGE DR, GRASS VALLEY, CA 959455768 (Tel: 5302739541)

📍
Updated Business Mailing Address July 10, 2019

Registered at PO BOX 6028, AUBURN, CA 956046028 (Tel: 5308785166)

👤
Provider Name / Credentials Updated July 10, 2019

Recorded as CHRISTINA CANNON, RADT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2019

Counselor (License #R1353740719 in CA)

🟢
Initial NPI Registration & Enumeration July 10, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265084263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2019
Last Update: May 04, 2022
Sole Proprietor: No

Mailing Address

2577 Ne Courtney Dr

Bend, OR 977017752

Phone: 5413327500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.