Kathryn Lynn Sue Hickman, BA
Individual provider Active NPI Case Manager/Care Coordinator · Anchorage, AK
NPI 1124603428 · NPPES record last updated Mar 17, 2021
Key facts
- NPI
- 1124603428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 3600 San Jeronimo Dr
Anchorage, AK 99508-2870 - Phone
- (907) 793-3600
- NPI assigned
- Mar 17, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Inlet Tribal Council, Inc | Current |
Accepting new patients | |
| Cook Inlet Tribal Council, Inc | Past |
Accepting new patients |
Locations
3600 San Jeronimo Dr
Anchorage, AK 99508
Phone (907) 793-3200
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/citci/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
3600 San Jeronimo Dr
Anchorage, AK 99508-2870
Mailing address
3600 San Jeronimo Dr
Anchorage, AK 99508-2870
Phone (907) 793-3600
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | klhickman@citci.org | Direct |
Other providers in Anchorage, AK
- Jack E Hickel
- Jenna Hickel
- Shawna Rene Hickel
- Kevin D Hickey
- Andrew Michael Hickman
- Lori M Hickman
- Bryan Hickok
- Shellie Irene Hickok
- Francis Lynn Hicks
- Rachel Hicks
All providers in Anchorage, AK · Case Manager/Care Coordinator in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.