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

MS. Lori Cannon, NP-C

Individual provider Family Nurse Practitioner · NPI 1174155097

MS. Lori Cannon, NP-C is a Nurse Practitioner in Surprise, Arizona. Qualified in 2019, 7 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

12665 W Smokey Dr Ste 140
Surprise, AZ 85378-3732
Phone: (623) 219-4040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1300 N 12th St Ste 612, Phoenix, AZ 85006-2850 — (602) 521-3000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 236251 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 236251 (AZ)

Record details

NPI number1174155097
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedFebruary 8, 2020
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Surprise