MS. CHARLENE RENAE DULLUM


Address: 7610 Palmer Wasilla Hyw, Palmer, AK 99645-1907
Phone: 9077452634

MS. CHARLENE RENAE DULLUM (NPI# 1093148058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093148058
Entity Type Individual
Full Name MS. CHARLENE RENAE DULLUM
Practice Address 7610 Palmer Wasilla Hyw
Palmer
AK 99645-1907
Mailing Address Po Box 1907
Palmer
AK 99645-1907
Practice Telephone 9077452634
Practice Fax Number 9077454897
Mailing Telephone 9077452634
Mailing Fax Number 9077454897
Enumeration Date 2013-08-14
Last Update Date 2013-08-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 7610 PALMER WASILLA HYW
City PALMER
State AK
Zip Code 99645-1907

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295357135 Kasey M Flintoft Occupational Therapist 7200 E. Jim Cottrell Cir, Palmer, AK 99645 2020-05-14
1629601471 Courtney Randol Licensed Practical Nurse 14405 E Pace Dr., Palmer, AK 99645 2020-02-20
1689213092 Valerie Anne Delaune Acupuncturist 9693 N. Little Otter Dr., Palmer, AK 99645 2020-01-02
1003464512 Alaskan Sunrise Behavioral Health, L.L.C. Clinic/Center 14460 E. Pace Dr., Palmer, AK 99645 2019-08-28
1548814718 Maple Springs of Palmer Snf Holdings, LLC Skilled Nursing Facility 12130 E Maple Springs Way, Palmer, AK 99645 2019-07-26
1952868655 Carla Beth Kelly Physical Therapist 7200 Jim Cottrell Circle, Palmer, AK 99645 2019-02-28
1366938375 Wendy S Page Behavior Technician 7200 E Jim Cottrell, Wasilla, AK 99645 2018-07-03
1154845170 Sarah Elizabeth Gilliland Occupational Therapist 7200 E Jim Cottrell Circle, Palmer, AK 99645 2017-08-01
1558885137 Garland Brooks Massage Therapist 1934 Prospect Dr, Palmer, AK 99645 2017-07-26
1386165009 Sommer Dawn Nielsen Massage Therapist 3566 N Mars Ave., Palmer, AK 99645 2017-07-03
Find all providers in zip 99645

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376198069 Care Coordination Advocates of Alaska Case Manager/Care Coordinator 901 N Richmond Ln # B, Palmer, AK 99645-8472 2019-08-08
1841705662 Amy L Anderson Case Manager/Care Coordinator 10355 E Palmer Wasilla Hwy Ste 100, Palmer, AK 99645-8876 2017-12-04
1619420395 Audrianna Nicole Lee Case Manager/Care Coordinator 10355 E Palmer Wasilla Hwy, Suite 110, Palmer, AK 99645-8876 2016-07-28
1528470416 Katrina Stimson Case Manager/Care Coordinator 6177 E Mountain Heather Rd Ste 105, Palmer, AK 99645-8428 2014-05-27
1669805651 Cory Terpening Case Manager/Care Coordinator 7610 E Palmer Wasilla Highway, Palmer, AK 99645 2013-08-14
1679828016 Nancy Mattie Koval Case Manager/Care Coordinator 1132 S Chugach St, Palmer, AK 99645-6608 2012-07-23
1013213750 Laura Crum Case Manager/Care Coordinator 6177 E Mountain Heather Rd Ste 5, Palmer, AK 99645-8442 2011-01-27
1881862837 Jerry Watkins Case Manager/Care Coordinator 427 N Alaska St, Palmer, AK 99645-6215 2008-02-12
1194901843 Kathleen H. Ashmore Roberts Case Manager/Care Coordinator 9520 N Wolverine Rd, Palmer, AK 99645-8734 2008-01-11
1669682373 Liza Tulio Mccafferty Case Manager/Care Coordinator 6445 E Blue Lupine Dr., Palmer, AK 99645-6445 2007-05-23
Find all providers in PALMER

Competitor

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City PALMER
Zip Code 99645

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Dataset Information

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.

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