Leslie Kristine Canfield, CRNP
Individual provider Active NPI Family Nurse Practitioner · Ozark, AL
NPI 1891921250 · NPPES record last updated Jun 3, 2014
Key facts
- NPI
- 1891921250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-066627 (AL)
- Practice address
- 145 Katherine Ave
Ozark, AL 36360-1976 - Phone
- (334) 774-5100
- Fax
- (334) 774-5110
- NPI assigned
- May 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dale Medical Center
Practice addresses (Care Compare)
218 Hospital Ave
Suite a
Ozark, AL 36360-2072
Phone (334) 774-1982
Hospital & facility affiliations
- Centerwell Home Health
- Dale Medical Center Home Health
- Dale Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090831000054 | AL | Practitioner - Nurse Practitioner | 7810042777 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dale Medical Center | Current |
Accepting new patients | |
| Dale Medical Center | Current | Accepting new patients | |
| Dale Medical Center | Family | Current |
Accepting new patients |
| Dale Medical Center | Past | Accepting new patients | |
| Dale Medical Center | Family | Past | Accepting new patients |
Locations
218 Hospital Ave
Ste B
Ozark, AL 36360
Phone (334) 445-1025
218 Hospital Ave
Ste A
Ozark, AL 36360
Phone (334) 445-6329
1519 Andrews Ave
Ozark, AL 36360
Phone (334) 774-7610
145 Katherine Ave
Ozark, AL 36360
Phone (334) 774-5116
126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803
Interoperability endpoints
- leslie.canfield.1@9069.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-066627 | AL | Yes |
Addresses
Primary practice location
145 Katherine Ave
Ozark, AL 36360-1976
Mailing address
145 Katherine Ave
Ozark, AL 36360-1976
Phone (334) 774-5100
Other providers in Ozark, AL
- Taylor M Bradford
- Rachel Elizabeth Buchanan
- Trey S Burg
- Tammy Butterworth
- Taylor D Caffey
- Cynthia Cannon
- Cardiology Associates of Ozark
- Carley Carroll
- Armillya Carstarphen
- Anna Carter
All providers in Ozark, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.