Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Avery Michelle Cannon, RDN, LD

Individual provider Registered Dietitian · NPI 1821978636

Avery Michelle Cannon, RDN, LD is a Registered Dietitian OR Nutrition Professional in Edmond, Oklahoma. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Oklahoma.

Years since qualifying
1
Licensed in
OK
In the registry since
2025
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

16308 Ironstone Dr
Edmond, OK 73013-6089
Phone: (405) 885-0270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 3195 (OK)

Record details

NPI number1821978636
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , LD
Sole proprietorYes
NPI enumeratedSeptember 3, 2025
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025
Mailing address511 Nw 29th St Apt 1, Oklahoma City, OK 73103-1049

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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