Individual provider Active NPI

Sarah E Olson

  • Case Manager/Care Coordinator
  • Anchorage, AK
National Provider Identifier
1073907465
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
NPI1740863265 Issued in AK
Practice address
6930 E 11TH Ave
Anchorage, AK 99504-1826
Phone
(907) 306-8776
Fax
(907) 677-5989
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NPI1316151095 AK
Case Manager/Care Coordinator 171M00000X NPI1740863265 AK Primary

Addresses

Primary practice location

6930 E 11TH Ave
Anchorage, AK 99504-1826

Mailing address

6930 E 11TH Ave
Anchorage, AK 99504-1826
Phone (907) 306-8776

Other practice location 1

1750 Abbott Road
Alzheimer's Resource of Alaska
Anchorage, AK 99507
Phone (907) 561-3313 ext. 148

Other identifiers 2

IdentifierTypeStateIssuer
NPI1740863265MedicaidAK
NPI1316151095MedicaidAK

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
NPI1316151095AKMDCase Manager/Care Coordinator
NPI1740863265AKMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Premier Care Coordination CurrentSince May 9, 2021 Accepting new patients
Alzheimer'S Disease Resource Agency of Alaska, Inc. Case Manager/Care Coordinator Past Accepting new patients

Organizations & group practices 2

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": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1073907465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 E 11TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041826",
            "telephone_number": "907-306-8776",
            "fax_number": "907-677-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 E 11TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041826",
            "telephone_number": "907-306-8776",
            "fax_number": "907-677-5989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 Abbott Road",
            "address_2": "Alzheimer's Resource of Alaska",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "99507",
            "country_code": "US",
            "telephone_number": "907-561-3313 x148",
            "fax_number": "907-561-3315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "SARAH",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "NPI1316151095",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "NPI1740863265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPI1740863265",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPI1316151095",
            "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 May 6, 2021; 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.