Provider Demographics
NPI:1629968979
Name:CANNADY, BECKY MARIE (RN)
Entity type:Individual
Prefix:
First Name:BECKY
Middle Name:MARIE
Last Name:CANNADY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7905 W 137TH TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-1125
Mailing Address - Country:US
Mailing Address - Phone:913-579-6821
Mailing Address - Fax:
Practice Address - Street 1:7905 W 137TH TER
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-1125
Practice Address - Country:US
Practice Address - Phone:913-579-6821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-40653-061163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development