Susan Canafax, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

155 Issued in AK

Practice address

2841 Debarr Rd
Ste 25
Anchorage, AK 99508-2967

Phone

(907) 264-2322

Fax

(907) 264-2336

NPI assigned

May 28, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1396748844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 DEBARR RD",
            "address_2": "STE 25",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082967",
            "telephone_number": "907-264-2322",
            "fax_number": "907-264-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 DEBARR RD",
            "address_2": "STE 25",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082967",
            "telephone_number": "907-264-2322",
            "fax_number": "907-264-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAFAX",
        "first_name": "SUSAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-28",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9319",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Anne Campbell, LCSW
• Kristin K Campbell, OT
• Walter L Campbell, DC
• William G. Campbell, M.D.
• Canaan Assisted Living LLC
• Julie Ann Canales, LPC
• Francisca Caneo Ramos, LCSW, CDC I
• Elena Baltazar Canlas
• Laina Cannon, RD
• Tirza Cannon, MD, MPH

• All providers in Anchorage, AK
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.