Active NPI
Ashley Jeffers
- Case Manager/Care Coordinator
- Wasilla, AK
National Provider Identifier
1053877449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 00000
- Practice address
- 500 E Swanson Ave Ste 5
Wasilla, AK 99654-7197 - Phone
- (907) 373-1000
- Fax
- (888) 588-5194
- NPI assigned
- Feb 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 00000 | AK | Primary |
Addresses
Primary practice location
500 E Swanson Ave Ste 5
Wasilla, AK 99654-7197
Mailing address
PO Box 871524
Wasilla, AK 99687-1524
Phone (907) 373-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Medicaid | AK |
Other names 1
- Ashley Christiansen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000 | AK | MD | Dental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1053877449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 871524",
"city": "WASILLA",
"state": "AK",
"postal_code": "996871524",
"telephone_number": "907-373-1000",
"fax_number": "888-588-5194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E SWANSON AVE STE 5",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547197",
"telephone_number": "907-373-1000",
"fax_number": "888-588-5194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "AK",
"license": "00000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "CHRISTIANSEN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.