Derrick Bignell

Individual provider Active NPI Personal Care Attendant · Soldotna, AK

NPI 1356950737 · NPPES record last updated Jul 30, 2020

Key facts

NPI
1356950737
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
44661 Sterling Hwy Ste a
Soldotna, AK 99669-7900
Phone
(907) 929-5826
NPI assigned
Jul 30, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

44661 Sterling Hwy Ste a
Soldotna, AK 99669-7900

Mailing address

44661 Sterling Hwy Ste a
Soldotna, AK 99669-7900
Phone (907) 929-5826

Other identifiers

IdentifierTypeStateIssuer
1584304MedicaidAK

Electronic endpoints

TypeEndpointUseAffiliation
Other URL HeartsandHandsofCare Health Information Exchange (HIE)

Other providers in Soldotna, AK

All providers in Soldotna, AK · Personal Care Attendant in Alaska

Sources for this page

Verify at the official NPI Registry.