Active NPI
Sandra Dawson Canaday, ARNP
- Nurse Practitioner
- Lakewood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60181508
- Practice address
- 4909 108TH St SW
Lakewood, WA 98499-3724 - Phone
- (253) 581-3075
- Fax
- (253) 581-3178
- NPI assigned
- Sep 30, 2010
- Last updated
- Oct 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60181508 | WA | Primary |
Addresses
Primary practice location
4909 108TH St SW
Lakewood, WA 98499-3724
Mailing address
PO Box 98886
Lakewood, WA 98496-8886
Phone (253) 584-3577
Other names 1
- Sandra Arevalo Dawson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
150 Chimacum Rd
Unit a
Port Hadlock, WA 98339-9774
Phone (360) 912-5777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60181508 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Integrated Health LLC | Current | Accepting new patients | |
| Olympic Peninsula Health Services | Current | Accepting new patients | |
| Seattle Pain Center Medical Corporation | Past | Accepting new patients | |
| Adult Inpatient Medical Services,PLLC | Past | Accepting new patients |
Locations
1106 E 1st St
Port Angeles, WA 98362
Phone (360) 452-2954
150 Chimacum Rd
Unit A
Port Hadlock, WA 98339
661 Ness Corner Rd
Port Hadlock, WA 98339
Phone (360) 912-5777
3640 S Cedar St
Ste M
Tacoma, WA 98409
Phone (253) 426-8666
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Addiction Medicine (Internal Medicine) Physician
- Port Hadlock, WA
- NPI 1700373321
-
- Addiction Medicine (Internal Medicine) Physician
- Tacoma, WA
- NPI 1558885210
-
- Adult Health Nurse Practitioner
- Lakewood, WA
- NPI 1609322577
-
- Internal Medicine Physician
- Tacoma, WA
- NPI 1568601722
-
dba Seattle Pain Center
- Pain Medicine (Anesthesiology) Physician
- Poulsbo, WA
- NPI 1346657293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1114236783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98886",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984968886",
"telephone_number": "253-584-3577",
"fax_number": "253-584-8916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 108TH ST SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984993724",
"telephone_number": "253-581-3075",
"fax_number": "253-581-3178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANADAY",
"first_name": "SANDRA",
"middle_name": "DAWSON",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60181508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "DAWSON",
"middle_name": "AREVALO",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.