Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518243187 Individual Practitioner Female Practitioner

Canessa Craigo Leeflang , FNP

Nurse Practitioner - Pediatrics • Provo, UT

Professional Overview & Biography Verified Profile Summary

Canessa Leeflang, FNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Provo, UT. Practice services are available at 364 W 2230 N STE 203 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

364 W 2230 N Ste 203

Provo, UT 846041533

Telephone 3852685322
Fax 3852685323

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Provo, UT (133 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-06
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License UT 59947704405

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 06, 2026

Registered at 364 W 2230 N STE 203, PROVO, UT 846041533 (Tel: 3852685322)

📍
Updated Business Mailing Address March 06, 2026

Registered at 364 W 2230 N STE 203, PROVO, UT 846041533 (Tel: 3852685322)

NPI Profile Active February 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2016

Registered at 12272 S 800 E, STE A, DRAPER, UT 840209789 (Tel: 8015231300)

📍
Updated Business Mailing Address February 03, 2016

Registered at 12272 S 800 E, STE A, DRAPER, UT 840209789 (Tel: 8015231300)

👤
Provider Name / Credentials Updated February 03, 2016

Recorded as CANESSA LEEFLANG, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2016

Nurse Practitioner (License #59947704405 in UT)

🟢
Initial NPI Registration & Enumeration October 27, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518243187
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2011
Last Update: March 06, 2026
Sole Proprietor: No

Mailing Address

364 W 2230 N Ste 203

Provo, UT 846041533

Phone: 3852685322

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.