Individual provider Active NPI

Susan Elaine Lasala-Wood, DNP FNP-C, RNFA

  • Family Nurse Practitioner
  • Show Low, AZ
National Provider Identifier
1457667016
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3846 Issued in AZ
Practice address
4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827
Phone
(928) 532-3926
Fax
(928) 537-9634
NPI assigned
Aug 20, 2010
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP3846 AZ Primary
Family Medicine Physician 207Q00000X AP3846 AZ

Addresses

Primary practice location

4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827

Mailing address

4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827
Phone (928) 532-3926

Other practice location 1

7609 E Pinnacle Peak Rd Ste 9
Scottsdale, AZ 85255-3460
Phone (480) 267-9111

Other practice location 2

11416 E Altadena Ave
Scottsdale, AZ 85259-3177
Phone (602) 689-5955

Other identifiers 1

IdentifierTypeStateIssuer
561697MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101208001008 AZ Practitioner - Nurse Practitioner 2860689460 Reassigns benefits to 2 organizations
I20220119001281 NM Practitioner - Nurse Practitioner 2860689460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1121 S Main St
Snowflake, AZ 85937-5645
Phone (928) 536-5858

4951 S White Mountain Rd
BLDG a
Show Low, AZ 85901-7801
Phone (928) 537-6700

5171 Cub Lake Rd
Show Low, AZ 85901-7888
Phone (928) 537-9944

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP3846AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Healthcare Medical Associates CurrentSince Mar 1, 2025 Accepting new patients
Summit Healthcare Association Current Accepting new patients
Presbyterian Medical Services CurrentSince Jan 10, 2022 Accepting new patients
Summit Healthcare Medical Associates Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Presbyterian Medical Services CurrentSince Jan 10, 2022 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Summit Healthcare Association Past Accepting new patients

Locations

4951 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 228-8384

4951 S White Mountain Rd
Bldg A
Show Low, AZ 85901
Phone (928) 537-6700

1121 S Main St
Snowflake, AZ 85937
Phone (928) 532-3008

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Interoperability endpoints

  • Direct secure messaging: susan.lasalawood.p1@direct.canyonlands.nextgenshare.com
  • Direct secure messaging: susanlasala-wood@shrmcshma.allscriptsdirect.net

Organizations & group practices 8

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 3

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": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1457667016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 S WHITE MOUNTAIN RD BLDG A",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017827",
            "telephone_number": "928-532-3926",
            "fax_number": "928-537-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 S WHITE MOUNTAIN RD BLDG A",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017827",
            "telephone_number": "928-532-3926",
            "fax_number": "928-537-9634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7609 E Pinnacle Peak Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852553460",
            "country_code": "US",
            "telephone_number": "480-267-9111",
            "fax_number": "480-454-4897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11416 E Altadena Ave",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852593177",
            "country_code": "US",
            "telephone_number": "602-689-5955",
            "fax_number": "602-865-8191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASALA-WOOD",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DNP FNP-C, RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3846",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AP3846",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "561697",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.