Lisa Marie Canas, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

002387 Issued in CT

Practice address

200 Bloomfield Avenue
Prohealth Physicians Student Health Services
West Hartford, CT 06117

Phone

(860) 768-6601

Fax

(860) 768-5140

NPI assigned

Nov 24, 2009

Last updated

Nov 24, 2009By the provider in NPPES

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)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • West Hartford, CT
  • NPI 1235202821
  NPD (past)

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1467780825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BLOOMFIELD AVENUE",
            "address_2": "PROHEALTH PHYSICIANS STUDENT HEALTH SERVICES",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06117",
            "telephone_number": "860-768-6601",
            "fax_number": "860-768-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BLOOMFIELD AVENUE",
            "address_2": "PROHEALTH PHYSICIANS STUDENT HEALTH SERVICES",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06117",
            "telephone_number": "860-768-6601",
            "fax_number": "860-768-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "002387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Callahan
• Mary Ryan Calnen, PA-C
• Nikalas Campanello
• Stephanie Campbell, LCSW
• Genesis Campos, LCSW
• Steven Mark Cannata, M.S., ATC, LAT
• Nancy Ann Cannatelli, OTRL
• David Joseph Cantor, LMFT
• Jacqueline Kay Cantor, APRN
• Gail Southard Canzano, PHD.

• Pediatric Nurse Practitioner in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.