Jessica Docherty, CARE COORDINATOR

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4801 S Timberline Cir
Wasilla, AK 99654-8750

Phone

(907) 521-1588

Fax

(888) 865-5534

NPI assigned

Feb 11, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: admin@pathfinder.directak.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathfinder Care Coordination Co

  • Case Management Agency
  • Wasilla, AK
  • NPI 1073169793
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1013662659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879349",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996879349",
            "telephone_number": "907-521-1588",
            "fax_number": "888-865-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S TIMBERLINE CIR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548750",
            "telephone_number": "907-521-1588",
            "fax_number": "888-865-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCHERTY",
        "first_name": "JESSICA",
        "credential": "CARE COORDINATOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@pathfinder.directak.net",
            "affiliation": "Y",
            "endpointDescription": "Inpriva DSM",
            "affiliationName": "Pathfinder Care Coordination Co",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4801 S TIMBERLINE CIR",
            "city": "WASILLA",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996548750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• DM Care Coordination
• Jonah Mathew Dobbs
• Macy Ann Dobbs
• Melissa Dobbs
• Brown Hal Docherty
• Elishaba Doerksen
• Megan Dollarhide
• Nicole Domaschuk-Jackson, PT, DPT
• Mary Katherine a Dombroski, BA
• Cathy Marie Donahoo

• All providers in Wasilla, AK
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.