Amy Tucker

Individual provider Active NPI Case Manager/Care Coordinator · Salcha, AK

NPI 1487025326 · NPPES record last updated Oct 19, 2015

Key facts

NPI
1487025326
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
5170 Sundown TRL
Salcha, AK 99714-9756
Phone
(907) 978-5023
NPI assigned
Oct 19, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Interior Care Coordination LLC Case Manager/Care Coordinator Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

5170 Sundown TRL
Salcha, AK 99714-9756

Mailing address

PO Box 57467
North Pole, AK 99705-2467

Other providers in Salcha, AK

All providers in Salcha, AK · Case Manager/Care Coordinator in Alaska

Sources for this page

Verify at the official NPI Registry.