Jodi Ann Irvine
Individual provider Active NPI Case Manager/Care Coordinator · Fairbanks, AK
NPI 1386850469 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1386850469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 117 Slater Dr
Fairbanks, AK 99701-3427 - Phone
- (907) 451-0389
- Fax
- (907) 451-0210
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairbanks Resource Agency | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | AK | Yes |
Addresses
Primary practice location
117 Slater Dr
Fairbanks, AK 99701-3427
Mailing address
805 Airport Way
Fairbanks, AK 99701-6039
Phone (907) 451-0389
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2528 | Medicaid | AK |
Other providers in Fairbanks, AK
- Interior Women'S Health, LLC
- Rosalia Ioane
- Christina Marie Ireton
- Edward Irish
- Ironlight Behavioral Health Services, LLC
- Nettie O. L. Irwin
- Hisako Ito
- Donald Ives
- Precious Eyewumi Izeagi
- Jace LLC
All providers in Fairbanks, AK · Case Manager/Care Coordinator in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.