Suzanne Ballew Canning, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD00036253 Issued in WA

Practice address

7810 Brown St
Ste 203
Redmond, WA 98052-4358

Phone

(425) 556-9306

Fax

(425) 556-0999

NPI assigned

Jun 23, 2005

Reactivated

Mar 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Evergreen Clinic

  • Psychiatry Physician
  • Kirkland, WA
  • NPI 1447314539
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134125115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 BROWN ST",
            "address_2": "STE 203",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524358",
            "telephone_number": "425-556-9306",
            "fax_number": "425-556-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 BROWN ST",
            "address_2": "STE 203",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524358",
            "telephone_number": "425-556-9306",
            "fax_number": "425-556-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNING",
        "first_name": "SUZANNE",
        "middle_name": "BALLEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00036253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I Steven Campbell, DPT
• Scott D. Campbell, LMFT
• Mary Fitch Candelaria, PSY.D
• Paola Linda Candia, DO
• Erica Cannell, M.D.
• Rosada V Cantrell, LMHC
• Daryll Jean Caporaso, MSW
• Robin R. Capwell, M.D.
• Jennifer Carbon, LMP
• Anna C Cardenas Linares

• Psychiatry Physician in Redmond, WA
• Providers in Redmond, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.