Active NPI
Sandra D. Canaday LLC
- Adult Health Nurse Practitioner
- Lakewood, WA
National Provider Identifier
1609322577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP60181508
- Legal business name
- SANDRA D. CANADAY LLC
- Practice address
- 4909 108TH St SW
Lakewood, WA 98499-3724 - Phone
- (253) 581-3075
- NPI assigned
- Aug 30, 2016
- Last updated
- Oct 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sandra Canaday, ARNP
- Title
- Adult Nurse Practitioner
- Phone
- (310) 402-8266
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP60181508 | WA | Primary |
Addresses
Primary practice location
4909 108TH St SW
Lakewood, WA 98499-3724
Mailing address
PO Box 98886
Lakewood, WA 98496-8886
Phone (253) 581-3075
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Lakewood, WA
- NPI 1114236783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475798400000",
"number": "1609322577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98886",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984968886",
"telephone_number": "253-581-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 108TH ST SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984993724",
"telephone_number": "253-581-3075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDRA D. CANADAY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-30",
"last_updated": "2016-10-07",
"status": "A",
"authorized_official_last_name": "CANADAY",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "ADULT NURSE PRACTITIONER",
"authorized_official_telephone_number": "310-402-8266",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP60181508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.