Emily Bordeleau Cannon, RDN
NPI 1104432160ActiveIndividual· Dietitian, Registered· Rutherford College, NC
Dietitian, Registered (RDN) with Burke Primary Care LLC, practicing in Rutherford College, North Carolina. Medicare paid $2,344 for services to 18 patients in 2024.
Overview
| NPI | 1104432160 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN |
| Sole proprietor | No |
| NPI issued | Sep 16, 2020 |
| Last updated in NPPES | Sep 16, 2020 |
| Certified by provider | Aug 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 86119367 | NC |
| Nutritionist, Nutrition, Education | 133NN1002X | 86119367 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 83 across 3 procedure codes |
| Paid by Medicare | $2,344 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Burke Primary Care LLCMorganton, NC · 25 clinicians