Organization Active NPI

Susan Canafax, FNP

  • Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1770857765
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
155 Issued in AK
Legal business name
SUSAN CANAFAX, FNP
Practice address
2841 Debarr Rd
Suite 25
Anchorage, AK 99508
Phone
(907) 264-2322
Fax
(907) 264-2336
NPI assigned
Mar 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Authorized official

Name
Susan Canafax Jones, FNP
Title
Manager
Phone
(907) 264-2322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 155 AK Primary

Addresses

Primary practice location

2841 Debarr Rd
Suite 25
Anchorage, AK 99508

Mailing address

2841 Debarr Rd
Suite 25
Anchorage, AK 99508-2958
Phone (907) 264-2322

National Provider Directory

National Provider Directory

Locations

2841 Debarr Rd
Ste 25
Anchorage, AK 99508
Phone (907) 264-2322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1770857765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 DEBARR RD",
            "address_2": "SUITE 25",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082958",
            "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": "SUITE 25",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-264-2322",
            "fax_number": "907-264-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN CANAFAX, FNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CANAFAX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-264-2322",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.