Individual provider Active NPI

Aland Dewon Stamps, CCAR

  • Case Manager/Care Coordinator
  • Bay City, MI
National Provider Identifier
1174283170
Registry record updated Dec 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
3442 Kiesel Rd
Bay City, MI 48706-2446
Phone
(989) 391-4046
Fax
(989) 391-4047
NPI assigned
Dec 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2021

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

Specialties & licenses 1

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

Addresses

Primary practice location

3442 Kiesel Rd
Bay City, MI 48706-2446

Mailing address

3442 Kiesel Rd
Bay City, MI 48706-2446
Phone (989) 391-4046

Other identifiers 2

IdentifierTypeStateIssuer
1797OtherCCAR RECOVERY COACH ACADEMY TRAINER
179OtherCCAR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.riverjordan.org/ Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
River Jordan, Inc. CurrentSince Dec 26, 2021 Accepting new patients

Organizations & group practices 1

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": "1639872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639872000000",
    "number": "1174283170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3442 KIESEL RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062446",
            "telephone_number": "989-391-4046",
            "fax_number": "989-391-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3442 KIESEL RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062446",
            "telephone_number": "989-391-4046",
            "fax_number": "989-391-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPS",
        "first_name": "ALAND",
        "middle_name": "DEWON",
        "credential": "CCAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-19",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCAR RECOVERY COACH ACADEMY TRAINER",
            "identifier": "1797",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCAR",
            "identifier": "179",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.riverjordan.org/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3442 Kiesel Rd",
            "city": "Bay City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487062446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.