Individual provider Active NPI

Carolyn Canlas, CRNA

  • Certified Registered Nurse Anesthetist
  • Dover, NH
National Provider Identifier
1255401055
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024176877 Issued in VA
Practice address
789 Central Ave
Dover, NH 03820-2526
Phone
(603) 742-5252
NPI assigned
Nov 9, 2006
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 048625 NH
Certified Registered Nurse Anesthetist 367500000X 0024176877 VA Primary

Addresses

Primary practice location

789 Central Ave
Dover, NH 03820-2526

Mailing address

3998 Fair Ridge Dr Ste 300
Fairfax, VA 22033-2907
Phone (703) 295-9360

Other practice location 1

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8000

Other identifiers 2

IdentifierTypeStateIssuer
3072612MedicaidNH
30341387MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VA, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060215000061 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133134968 Reassigns benefits to 3 organizations
I20200102000118 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133134968 Reassigns benefits to 4 organizations
I20251014003312 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133134968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Old Dominion Anesthesia LLCGroup PAC ID 8820462765, 57 clinicians

Practice addresses (Care Compare)

8140 Ashton Ave
Suite 212
Manassas, VA 20109-5701
Phone (703) 365-9085

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
048625NHMDCertified Registered Nurse Anesthetist
0024176877VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC CurrentSince Oct 1, 2019 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
North American Partners in Anesthesia New Hampshire LLP CurrentSince May 1, 2015 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Oct 1, 2019 Accepting new patients
Portsmouth Anesthesia Associates PA CurrentSince Oct 12, 2015 Accepting new patients
Anesthesia Care Group PC CurrentSince Jan 5, 2015 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 8, 2021 Accepting new patients
Old Dominion Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 17, 2025 Accepting new patients
Lakes Region Anesthesiology PA Past Accepting new patients
North American Partners in Anesthesia (Virginia), LLC Past Accepting new patients

Locations

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750

3914 Centreville Rd
Ste 350
Chantilly, VA 20151
Phone (703) 263-3393

1139 E High St
Ste 105
Charlottesvle, VA 22902
Phone (434) 817-8484

1211 Central Park Blvd
Fredericksburg, VA 22401
Phone (267) 742-8283

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

8140 Ashton Ave
Ste 212
Manassas, VA 20109
Phone (703) 362-3114

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

14010 Smoketown Rd
Ste 117
Woodbridge, VA 22192
Phone 7035800181135

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1255401055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332907",
            "telephone_number": "703-295-9360",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-742-5252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Sudley Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104418",
            "country_code": "US",
            "telephone_number": "703-369-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANLAS",
        "first_name": "CAROLYN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "048625",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024176877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072612",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30341387",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.