Individual provider Active NPI

Alicia Kupczyk, B.A., PSYCHOLOGY

  • Case Manager/Care Coordinator
  • Anchorage, AK
National Provider Identifier
1184928079
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2211 Arca Dr
Anchorage, AK 99508-3462
Phone
(907) 777-0125
Fax
(907) 272-2161
NPI assigned
Jan 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

2211 Arca Dr
Anchorage, AK 99508-3462

Mailing address

2211 Arca Dr
Anchorage, AK 99508-3462
Phone (907) 777-0125

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
Credentials
Bachelor of Arts

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1184928079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 ARCA DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083462",
            "telephone_number": "907-777-0125",
            "fax_number": "907-272-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 ARCA DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083462",
            "telephone_number": "907-777-0125",
            "fax_number": "907-272-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPCZYK",
        "first_name": "ALICIA",
        "credential": "B.A., PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 6, 2011; 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.