Andrea L. Miller
Individual provider Active NPI Case Manager/Care Coordinator · Kenai, AK
NPI 1457528093 · NPPES record last updated Oct 21, 2013
Key facts
- NPI
- 1457528093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 51045 Polaris Way
Kenai, AK 99611 - Phone
- (907) 394-4275
- NPI assigned
- May 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| Alaskan'S Caring for Alaskan'S Care Coordination Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
51045 Polaris Way
Kenai, AK 99611
Mailing address
PO Box 7533
Nikiski, AK 99635-7533
Phone (907) 394-4275
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM7960 | Medicaid | AK |
Other providers in Kenai, AK
- Heidi Beth Metteer
- Mary Jo Mettler
- Karey Mewbourn
- Shana Mickenham
- Rhonda Lynn Miles
- Linda Apollonia Miller
- Rachel Marie Minkel
- Alyssa J Minnich
- Courtney Lee Mitchell
- Robert Byron Mitchell
All providers in Kenai, 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 Oct 21, 2013. 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.