CANESSA CRAIGO LEEFLANG (NPI# 1518243187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518243187 |
| Entity Type | Individual |
| Full Name | CANESSA CRAIGO LEEFLANG |
| Other Name | CANESSA CRAIGO |
| Credential | FNP |
| Practice Address |
12272 S 800 E Ste A Draper UT 84020-9789 |
| Practice Telephone | 8015231300 |
| Practice Fax Number | 8015231301 |
| Mailing Telephone | 8015231300 |
| Mailing Fax Number | 8015231301 |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2016-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
59947704405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12272 S 800 E STE A |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-9789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861413742 | Renee Nilsson Scheidell | Internal Medicine | 12272 S 800 E, Suite 100, Draper, UT 84020-9789 | 2006-07-23 |
| 1104218387 | Avamere Home Health Care, LLC | Home Health | 12272 S 800 E, Suite B, Draper, UT 84020-9789 | 2015-02-25 |
| 1912399197 | Northwest Hospice, LLC | Hospice Care, Community Based | 12272 S 800 E, Suite B, Draper, UT 84020-9789 | 2015-02-25 |
| 1972948776 | John Cheney | Chiropractor | 12272 S 800 E, Suite C, Draper, UT 84020-9789 | 2013-05-07 |
| 1083059885 | Eric Mcentire | Chiropractor | 12272 S 800 E, Suite C, Draper, UT 84020-9789 | 2013-05-07 |
| 1447446182 | Donna R Melton | Optometrist | 12272 S 800 E, Ste 100, Draper, UT 84020-9789 | 2007-09-17 |
| 1104978873 | Carlie Jo Hamilton | Nurse Practitioner | 12272 S 800 E, Suite A, Draper, UT 84020-9789 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497176911 | Mary-faith Fuller | Nurse Practitioner | 12176 S 1000 E, Ste G, Draper, UT 84020-9734 | 2013-12-31 |
| 1497930853 | Amanda D. Orme | Nurse Practitioner | 114 E 12450 S, Suite 100, Draper, UT 84020-8058 | 2008-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841707569 | Deeann Cervantez | Nurse Practitioner | 100 N Mario Capecchi Dr Ste 3550, Salt Lake City, UT 84113-1103 | 2018-01-03 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1417402389 | Heather Crockett Oram | Nurse Practitioner | 41 E 1140 N, Suite B, Saratoga Springs, UT 84045-5459 | 2016-08-22 |
| 1720452782 | Jane Garff Gardiner | Nurse Practitioner | 347 N Quince St, Salt Lake City, UT 84103-1641 | 2015-11-13 |
| 1992171185 | Angela Curtis Page | Nurse Practitioner | 484 E 1250 S, Kaysville, UT 84037-4005 | 2015-08-11 |
| 1982025961 | Teresa Steele | Nurse Practitioner | 5063 S Cottonwood St Ste, 160, Murray, UT 84107 | 2013-12-18 |
| 1447505904 | Natalie Tollison | Nurse Practitioner | 1055 N 300 W Ste 300, Provo, UT 84604-3373 | 2012-07-19 |
| 1578820858 | Helen Kathleen Aoki | Nurse Practitioner | 9071 S 1300 W Fl 3, West Jordan, UT 84088-6672 | 2012-04-11 |
| 1356676035 | Cherie Marie Farnes | Nurse Practitioner | 1355 N University Ave Ste 210, Provo, UT 84604-2721 | 2009-10-13 |
| 1558505529 | Melissa Ann Neville-norton | Nurse Practitioner | 3875 Stadium Way # 3903 Weber State University, Ogden, UT 84408 | 2009-04-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.