Karen Pudge Dba Forget-Me-Not Care Coordination

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

746363 Issued in AK

Legal business name

KAREN PUDGE DBA FORGET-ME-NOT CARE COORDINATION

Practice address

4350 E 145TH Avenue
Anchorage, AK 99516

Phone

(907) 646-9877

Fax

(907) 646-1991

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Louise Pudge, BSWNPI 1588848097

Title

Sole Employee Proprietor

Phone

(907) 646-9877

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Karen Pudge DBA Forget -Me-Not Care Coordination Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Louise Pudge, BSW

  • Case Manager/Care Coordinator
  • Anchorage, AK
  • NPI 1588848097
  NPD (past) Authorized official

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1265616783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110297",
            "address_2": "FOREGET-ME-NOT CARE COORDINATION",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995110297",
            "telephone_number": "907-646-9877",
            "fax_number": "907-646-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 E 145TH AVENUE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99516",
            "telephone_number": "907-646-9877",
            "fax_number": "907-646-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN PUDGE DBA FORGET-ME-NOT CARE COORDINATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "PUDGE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "SOLE EMPLOYEE PROPRIETOR",
        "authorized_official_telephone_number": "907-646-9877",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "746363",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": "746363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CM861611588848097",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMG8611265616783",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karen Pudge DBA Forget -Me-Not Care Coordination",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Anchorage, AK
• Case Management Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.