Angela Nieto
Individual provider Active NPI Case Manager/Care Coordinator · Anchorage, AK
NPI 1043634868 · NPPES record last updated Feb 13, 2014
Key facts
- NPI
- 1043634868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 911 (AK)
- Practice address
- 500 E Tudor Rd
Anchorage, AK 99503-7368 - Phone
- (907) 563-5002
- Fax
- (907) 563-5047
- NPI assigned
- Feb 13, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 911 | AK | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 911 | AK | Yes |
Addresses
Primary practice location
500 E Tudor Rd
Anchorage, AK 99503-7368
Mailing address
500 E Tudor Rd
Anchorage, AK 99503-7368
Phone (907) 563-5002
NPI Registry JSON
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1043634868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E TUDOR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995037368",
"telephone_number": "907-563-5002",
"fax_number": "907-563-5047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E TUDOR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995037368",
"telephone_number": "907-563-5002",
"fax_number": "907-563-5047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIETO",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-13",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "AK",
"license": "911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
- Cindy Nielsen
- Jan Nielsen
- Robert C Nielsen
- Shawn Nielsen
- Timothy Nienhueser
- Kelsey Janet Nieto
- Thomas Samuel Nighswander
- Nightingale Assisted Living Home LLC
- Diana May Nika
- Cheyenne Nikerle
All providers in Anchorage, AK · Case Manager/Care Coordinator in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.