Active NPI
Rosynill Marchuk
- Case Manager/Care Coordinator
- Delta Junction, AK
National Provider Identifier
1114130168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2415 Rapids St.
Delta Junction, AK 99737-1009 - Phone
- (907) 895-4104
- Fax
- (907) 895-4143
- NPI assigned
- May 7, 2007
- Last updated
- Jul 10, 2007
- 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 | NU | Primary |
Addresses
Primary practice location
2415 Rapids St.
Delta Junction, AK 99737-1009
Mailing address
PO Box 343
Delta Junction, AK 99737-0343
Phone (907) 895-4011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM3228 | Medicaid | AK |
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": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1114130168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 343",
"city": "DELTA JUNCTION",
"state": "AK",
"postal_code": "997370343",
"telephone_number": "907-895-4011",
"fax_number": "907-895-4143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 RAPIDS ST.",
"city": "DELTA JUNCTION",
"state": "AK",
"postal_code": "997371009",
"telephone_number": "907-895-4104",
"fax_number": "907-895-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHUK",
"first_name": "ROSYNILL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CM3228",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delta Junction, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.