SANDRA D. CANADAY LLC (NPI# 1609322577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609322577 |
| Entity Type | Organization |
| Organization Name | SANDRA D. CANADAY LLC |
| Practice Address |
4909 108th St Sw Lakewood WA 98499-3724 |
| Mailing Address |
Po Box 98886 Lakewood WA 98496-8886 |
| Practice Telephone | 2535813075 |
| Mailing Telephone | 2535813075 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | MRS. SANDRA CANADAY (ADULT NURSE PRACTITIONER) |
| Authorized Official Telephone | 3104028266 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP60181508 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4909 108TH ST SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-3724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346443413 | Aileen Leslie Wedvik | Nurse Practitioner | 4909 108th St Sw, Lakewood, WA 98499-3724 | 2007-06-07 |
| 1013427004 | Aileen Leslie Wedvik Arnp Pllc | Clinic/Center | 4909 108th St Sw, Lakewood, WA 98499-3724 | 2017-10-04 |
| 1114236783 | Sandra Dawson Canaday | Nurse Practitioner | 4909 108th St Sw, Lakewood, WA 98499-3724 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235522483 | Jennifer Miranda Vicente | Nurse Practitioner | 3300 E South St Ste 205, Lakewood, CA 90805-4587 | 2015-03-12 |
| 1477997666 | Melanie Rose Vernacchia | Nurse Practitioner | 600 River Ave Fl 3, Lakewood, NJ 08701-5237 | 2013-04-18 |
| 1245576834 | Regina B Glisson | Nurse Practitioner | 101 Second St, Lakewood, NJ 08701 | 2012-12-31 |
| 1982818803 | Linda J Leblanc | Nurse Practitioner | 10814 Deepwood Dr Sw, Lakewood, WA 98498 | 2007-05-09 |
| 1982704441 | Nancy Irene Brooker | Nurse Practitioner | 11700 W 2nd Pl Ste 450, Lakewood, CO 80228-1719 | 2006-09-25 |
| 1447712781 | Olanrewaju Famakinwa | Nurse Practitioner | 685 River Ave, Lakewood, NJ 08701-5288 | 2019-04-04 |
| 1285144758 | Ann Pereira | Nurse Practitioner | 1526 Cole Blvd Ste 300, Lakewood, CO 80401-3410 | 2017-10-10 |
| 1235648890 | Natalia C Spencer | Nurse Practitioner | 1526 Cole Blvd Ste 300, Lakewood, CO 80401-3410 | 2017-09-27 |
| 1679096630 | Amber Brooke Hyland | Nurse Practitioner | 13900 Detroit Ave, Lakewood, OH 44107-4624 | 2017-07-21 |
| 1518496991 | Frank Ross Arnp LLC | Nurse Practitioner | 4901 108th St Sw, Lakewood, WA 98499-3724 | 2017-06-08 |
| Find all providers in LAKEWOOD | ||||
Please comment or provide details below to improve the information on SANDRA D. CANADAY LLC.
| 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.