AUDRIANNA NICOLE LEE (NPI# 1619420395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619420395 |
| Entity Type | Individual |
| Full Name | AUDRIANNA NICOLE LEE |
| Credential | CARE COORDINATOR |
| Practice Address |
10355 E Palmer Wasilla Hwy Suite 110 Palmer AK 99645-8876 |
| Practice Telephone | 9077463428 |
| Mailing Telephone | 9077463428 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
10355 E PALMER WASILLA HWY SUITE 110 |
| City | PALMER |
| State | AK |
| Zip Code | 99645-8876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306353024 | Tessa Marie Morris | Case Manager/Care Coordinator | 10355 E Palmer Wasilla Hwy, Palmer, AK 99645-8876 | 2018-01-03 |
| 1346791092 | Lisa Hubbard | Case Manager/Care Coordinator | 10355 E Palmer Wasilla Hwy, Palmer, AK 99645-8876 | 2016-10-18 |
| 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 Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| 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] |
| 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 |
| 1528470416 | Katrina Stimson | Case Manager/Care Coordinator | 6177 E Mountain Heather Rd Ste 105, Palmer, AK 99645-8428 | 2014-05-27 |
| 1093148058 | Charlene Renae Dullum | Case Manager/Care Coordinator | 7610 Palmer Wasilla Hyw, Palmer, AK 99645-1907 | 2013-08-14 |
| 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 | ||||
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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.