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

Individual provider Speech-Language Pathologist · NPI 1164234589

Nathalia Kalena Cannon, MS is a Qualified Speech Language Pathologist in Raleigh, North Carolina. Qualified in 2024, 2 years ago. Accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

178 Mine Lake Ct Ste 100
Raleigh, NC 27615-6417
Phone: (336) 430-8096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 30003885 (NC)

Record details

NPI number1164234589
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedJanuary 22, 2025
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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