Individual provider Active NPI

Leslie Kristine Canfield, CRNP

  • Family Nurse Practitioner
  • Ozark, AL
National Provider Identifier
1891921250
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-066627 Issued in AL
Practice address
145 Katherine Ave
Ozark, AL 36360-1976
Phone
(334) 774-5100
Fax
(334) 774-5110
NPI assigned
May 29, 2009
Last updated
Jun 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-066627 AL Primary

Addresses

Primary practice location

145 Katherine Ave
Ozark, AL 36360-1976

Mailing address

145 Katherine Ave
Ozark, AL 36360-1976
Phone (334) 774-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090831000054 AL Practitioner - Nurse Practitioner 7810042777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dale Medical CenterGroup PAC ID 3476466327, 29 clinicians

Practice addresses (Care Compare)

218 Hospital Ave
Suite a
Ozark, AL 36360-2072
Phone (334) 774-1982

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dale Medical Center CurrentSince Jan 25, 2014 Accepting new patients
Dale Medical Center Family CurrentSince Jan 25, 2014 Accepting new patients
Dale Medical Center Current Accepting new patients
Dale Medical Center Past Accepting new patients
Dale Medical Center Family Past Accepting new patients

Locations

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

145 Katherine Ave
Ozark, AL 36360
Phone (334) 774-5116

1519 Andrews Ave
Ozark, AL 36360
Phone (334) 774-7610

218 Hospital Ave
Ste A
Ozark, AL 36360
Phone (334) 445-6329

218 Hospital Ave
Ste B
Ozark, AL 36360
Phone (334) 445-1025

Interoperability endpoints

  • Direct secure messaging: leslie.canfield.1@9069.direct.athenahealth.com

Organizations & group practices 5

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": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1891921250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 KATHERINE AVE",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363601976",
            "telephone_number": "334-774-5100",
            "fax_number": "334-774-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 KATHERINE AVE",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363601976",
            "telephone_number": "334-774-5100",
            "fax_number": "334-774-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANFIELD",
        "first_name": "LESLIE",
        "middle_name": "KRISTINE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-066627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, AL

Sources for this page

Verify at the official NPI Registry.