Active NPI
Tesslyn Roe
- Case Manager/Care Coordinator
- Anchorage, AK
National Provider Identifier
1295382745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 1697487
- Practice address
- 4160 Tudor Centre Dr
Anchorage, AK 99508-5901 - Phone
- (907) 717-9509
- NPI assigned
- Aug 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 1697487 | AK | Primary |
Addresses
Primary practice location
4160 Tudor Centre Dr
Anchorage, AK 99508-5901
Mailing address
4160 Tudor Centre Dr
Anchorage, AK 99508-5901
Phone (907) 717-9509
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | darryl.akins1@accllc.directak.net | ||
| Direct Messaging Address | darryl.akins1@accllc.directak.net | ||
| Direct Messaging Address | tesslyn.roe@scf.directak.net | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1697487 | AK | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1295382745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 TUDOR CENTRE DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085901",
"telephone_number": "907-717-9509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 TUDOR CENTRE DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085901",
"telephone_number": "907-717-9509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROE",
"first_name": "TESSLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "AK",
"license": "1697487",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "darryl.akins1@accllc.directak.net",
"affiliation": "N",
"address_1": "3930 Bryant Ridge Pl",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995045338",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "darryl.akins1@accllc.directak.net",
"affiliation": "N",
"address_1": "3930 Bryant Ridge Pl",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995045338",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tesslyn.roe@scf.directak.net",
"affiliation": "N",
"endpointDescription": "Direct Secure Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Secure Messaging",
"address_1": "4160 Tudor Centre Dr",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995085901",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.