Active NPI
Pathfinder Care Coordination Co
- Case Management Agency
- Wasilla, AK
National Provider Identifier
1073169793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- PATHFINDER CARE COORDINATION CO
- Practice address
- 4801 S Timberline Cir
Wasilla, AK 99654-8750 - Phone
- (907) 232-9490
- Fax
- (888) 865-5534
- NPI assigned
- Aug 19, 2019
- Last updated
- Feb 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rebecca Racenet, CARE COORDINATOR
- Title
- President
- Phone
- (907) 521-1588
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
4801 S Timberline Cir
Wasilla, AK 99654-8750
Mailing address
PO Box 879349
Wasilla, AK 99687-9349
Phone (907) 521-1588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1697739 | Medicaid | AK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@pathfinder.directak.net | Direct |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- admin@pathfinder.directak.net
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Case Manager/Care Coordinator
- Wasilla, AK
- NPI 1427545615
-
- Case Manager/Care Coordinator
- Wasilla, AK
- NPI 1013662659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644537600000",
"number": "1073169793",
"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": "907-232-9490",
"fax_number": "888-865-5534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHFINDER CARE COORDINATION CO",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-19",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A",
"authorized_official_last_name": "RACENET",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "907-521-1588",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CARE COORDINATOR"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1697739",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@pathfinder.directak.net",
"affiliation": "N",
"endpointDescription": "Secure DSM",
"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": []
}
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, 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.