Active NPI
Hedy Leann McGahan
- Case Manager/Care Coordinator
- Kenai, AK
National Provider Identifier
1073704433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 50135 Terry Ray Ave.
Kenai, AK 99611 - Phone
- (907) 260-9469
- NPI assigned
- Aug 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Manager/Care Coordinator | 171M00000X | AK | Primary |
Addresses
Primary practice location
50135 Terry Ray Ave.
Kenai, AK 99611
Mailing address
PO Box 8324
Nikiski, AK 99635-8324
Phone (907) 252-7654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM75121 | Medicaid | AK |
Other names 1
- Hedy Leann Reynolds
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1073704433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8324",
"city": "NIKISKI",
"state": "AK",
"postal_code": "996358324",
"telephone_number": "907-252-7654",
"fax_number": "866-431-3260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50135 TERRY RAY AVE.",
"city": "KENAI",
"state": "AK",
"postal_code": "99611",
"telephone_number": "907-260-9469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGAHAN",
"first_name": "HEDY",
"middle_name": "LEANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "AK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CM75121",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEDY",
"last_name": "REYNOLDS",
"middle_name": "LEANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kenai, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.