Individual provider Active NPI

Rebecca Cooney

  • Case Manager/Care Coordinator
  • Wasilla, AK
National Provider Identifier
1225892250
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
777 N Crusey St Ste B101
Wasilla, AK 99654-7101
Phone
(907) 746-3445
Fax
(907) 746-3439
NPI assigned
Feb 9, 2024
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 AK Primary

Addresses

Primary practice location

777 N Crusey St Ste B101
Wasilla, AK 99654-7101

Mailing address

777 N Crusey St Ste B101
Wasilla, AK 99654-7101
Phone (907) 746-3445

Other practice location 1

1750 Abbott Rd
Anchorage, AK 99507-3450
Phone (907) 561-3313

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca.cooney@adra.directak.net

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
Alzheimer's Disease Resource Agency of Alaska, Inc. Case Manager/Care Coordinator PastSince Feb 11, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1225892250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N CRUSEY ST STE B101",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547101",
            "telephone_number": "907-746-3445",
            "fax_number": "907-746-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N CRUSEY ST STE B101",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547101",
            "telephone_number": "907-746-3445",
            "fax_number": "907-746-3439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 Abbott Rd",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995073450",
            "country_code": "US",
            "telephone_number": "907-561-3313",
            "fax_number": "907-561-3315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COONEY",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca.cooney@adra.directak.net",
            "affiliation": "N",
            "address_1": "777 N Crusey St Ste B101",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.