Individual provider Active NPI

Susan Elaine Troutman, CARE COORDINATOR

  • Case Manager/Care Coordinator
  • Anchorage, AK
National Provider Identifier
1073642005
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
299232 Issued in AK
Practice address
16131 Windjammer Cir
Anchorage, AK 99516-4813
Phone
(907) 345-0084
Fax
(907) 344-0075
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 299232 AK Primary

Addresses

Primary practice location

16131 Windjammer Cir
Anchorage, AK 99516-4813

Mailing address

16131 Windjammer Cir
Anchorage, AK 99516-4813
Phone (907) 345-0084

Other identifiers 2

IdentifierTypeStateIssuer
CM3498MedicaidAK
CMG 349MedicaidAK

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

LicenseStateTypeSpecialty
299232AKMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Heartfelt Care LLC Case Manager/Care Coordinator Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073642005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16131 WINDJAMMER CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995164813",
            "telephone_number": "907-345-0084",
            "fax_number": "907-344-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16131 WINDJAMMER CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995164813",
            "telephone_number": "907-345-0084",
            "fax_number": "907-344-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUTMAN",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "CARE COORDINATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "299232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CM3498",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMG 349",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.