Tameka Annakay Ambersley
Individual provider Active NPI Case Manager/Care Coordinator · Fairbanks, AK
NPI 1154076529 · NPPES record last updated Feb 15, 2022
Key facts
- NPI
- 1154076529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 542 4TH Ave Ste B101
Fairbanks, AK 99701-4707 - Phone
- (907) 374-1097
- NPI assigned
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
542 4TH Ave Ste B101
Fairbanks, AK 99701-4707
Mailing address
PO Box 73004
Fairbanks, AK 99707-3004
Phone (907) 374-1097
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1687081 | Medicaid | AK |
Other providers in Fairbanks, AK
- Elaine Marie Aloysius-Vatter
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- Alyeska International, Inc.
- Alyeska Surgery and Urology Inc
- William Joseph Amberg
- Scott Amestoy
- Lauren Amirault
- Kyndall Ampy Blackburn
- Courtney Michelle Amundson
- Kristina Amundson
All providers in Fairbanks, 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 Feb 15, 2022. 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.