Cancer Survivor Health Network, L.L.C.

Primary specialty

Clinical Informatics PhysicianTaxonomy code 2083C0008X

Legal business name

CANCER SURVIVOR HEALTH NETWORK, L.L.C.

Practice address

2486 East Emerson Avenue
Salt Lake City, UT 84108

Phone

(801) 754-6051

Fax

(801) 210-0476

NPI assigned

Sep 11, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George Willock

Title

Ceo

Phone

(801) 754-6051

Specialties & licenses 9

Addresses

Other identifiers 1

Other names 1

• Survivor Healthcare Doing business as

Electronic endpoints 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Anne Almanza, M.S., OTR/L

  • Occupational Therapist
  • Salt Lake City, UT
  • NPI 1639895469
  NPD
• Shara Bailey

  • Behavior Analyst
  • Riverton, UT
  • NPI 1891000634
  NPD
• John Librett, PH.D., M.P.H.

  • Specialist
  • Sandy, UT
  • NPI 1164852224
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1114446168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 S FOOTHILL DR # 333",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082321",
            "telephone_number": "801-754-6051",
            "fax_number": "801-210-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 EAST EMERSON AVENUE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84108",
            "telephone_number": "801-754-6051",
            "fax_number": "801-210-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER SURVIVOR HEALTH NETWORK, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "WILLOCK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-754-6051"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083C0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SX0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164852224",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "helpdesk@survivorhealthcare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4624 S Holladay Blvd",
            "city": "Holladay",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841177054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Survivor Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Jeffrey Campsen, MD
• Robert B Canaan
• Angela D Canada, D.C.
• Elliott Mark Canada
• David Mark Canann, PHARM.D.
• Cancer Wellness House, Inc.
• Meghan Sullivan Candee, MD, MS
• Angelica Candelaria
• Ann Marie C Canelas, MD
• Charlotte Ann Canella, MED LCPC

• All providers in Salt Lake City, UT
• Clinical Informatics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.