KELLY EGGLESTON


Address: 764 Adventure Road, Fairbanks, AK 99712
Phone: 9074601414

KELLY EGGLESTON (NPI# 1295045508) 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) 1295045508
Entity Type Individual
Full Name KELLY EGGLESTON
Credential BACHLOR OF ARTS ED.
Practice Address 764 Adventure Road
Fairbanks
AK 99712
Mailing Address Po Box 56597
North Pole
AK 99705
Practice Telephone 9074601414
Practice Fax Number 9074882652
Mailing Telephone 9074601414
Enumeration Date 2010-10-20
Last Update Date 2010-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Other Providers KELLY EGGLESTON

NPI Name Taxonomy Address Enumeration
1407007172 Kelly Ann Eggleston Counselor 174 W Spruce Ave, Wasilla, AK 99654-5400 2008-09-30

Office Location

Street Address 764 ADVENTURE ROAD
City FAIRBANKS
State AK
Zip Code 99712

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295216687 Janet Lynn Juenke Massage Therapist 615 O'leary Rd, Fairbanks, AK 99712 2018-08-24
1730618422 Melody Waldroup Massage Therapist 845 Birch Hill Rd, Fairbanks, AK 99712 2017-06-07
1154715928 Relax Your Mind, Body and Soul Clinic/Center 559 Golden Morn St, Fairbanks, AK 99712 2015-03-19
1588871628 Country Estates Inc Assisted Living Facility 240 Peregrine Drive, Fairbanks, AK 99712 2007-05-17
1275754012 Presbyterian Hospitality House Residential Treatment Facility, Emotionally Disturbed Children 7609 Chena Hot Springs Rd, Fairbanks, AK 99712 2007-05-01
1750717922 Moveit Physical Therapy, LLC Clinic/Center 665 Aspen Heights Dr, Fairbanks, AK 99712-1111 2013-09-19
1144669052 Jessica Revells Occupational Therapy Assistant 734 Manchester Loop, Fairbanks, AK 99712-1120 2013-06-25
1134455397 Farmers Loop Home, LLC Assisted Living Facility 1002 Senate Loop, 1002 Senate Loop, Fairbanks, AK 99712-1130 2009-10-22
1417227752 Viola L Mccain Social Worker 1335 Skyline Dr, Fairbanks, AK 99712-1151 2012-01-04
1043462062 Shirley Harris Physical Therapy Assistant 324 Skyridge Dr, Fairbanks, AK 99712-1205 2008-10-22
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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
1922665132 Yelena Petkova Case Manager/Care Coordinator 270 Fairhill Rd, Fairbanks, AK 99712-1614 2019-05-22
1437715505 Fabienne Rose Marie Siddall Case Manager/Care Coordinator 122 1st Avenue, Fairbanks, AK 99701 2019-05-14
1528624699 Christy Ann Herman Case Manager/Care Coordinator 661 Fordham Dr, Fairbanks, AK 99709-6763 2019-05-14
1144795055 Debbie A Clarke Case Manager/Care Coordinator 1173 Sunset Dr, Fairbanks, AK 99709-4745 2018-10-06
1679938096 Rachel Pleasants Case Manager/Care Coordinator 1422 Hampstead Ave, Fairbanks, AK 99701-2729 2015-12-30
1790039824 Tracy Marie Rodden-larson Case Manager/Care Coordinator 60 Hall St, Fairbanks, AK 99701-4828 2012-10-26
1700163565 Anita M Rodriguez Case Manager/Care Coordinator 3407 Airport Way, Fairbanks, AK 99709-4761 2011-11-08
1093030025 Robin Jane Boggs Case Manager/Care Coordinator 3875 Geist Rd Ste E312, Fairbanks, AK 99709-3549 2010-04-01
1659601771 Georgia Reynolds Case Manager/Care Coordinator 526 Gaffney Rd, Suite 100, Fairbanks, AK 99701-4914 2010-01-12
1184864274 Karma Brown Case Manager/Care Coordinator 764 Adventure Rd, Fairbanks, AK 99712-3330 2009-03-02
Find all providers in FAIRBANKS

Competitor

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City FAIRBANKS
Zip Code 99712

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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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