Jennifer Kay Wieland

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

615 23Rd Ave Ste 200
Fairbanks, AK 99701-7041

Phone

(907) 455-9737

NPI assigned

Nov 27, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Crossroads Counseling & Training Services

  • Case Management Agency
  • Fairbanks, AK
  • NPI 1568587111
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1508048083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82074",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997082074",
            "telephone_number": "907-455-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 23RD AVE STE 200",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017041",
            "telephone_number": "907-455-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIELAND",
        "first_name": "JENNIFER",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CM4583",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Rose Bullock Wicks, CD(DONA)
• Kimberlynn Wicks
• Jonathan Widman
• Megan Wiegand, PHARMD
• Shannon Wiegand, MD
• Seth Walter Wietgrefe
• Magan Kathryn Wiggs, SLP-A
• Stephanie Wight, PT, DPT
• Mason Wigley
• Emily Haze Wikle Burgess, LMT

• Case Manager/Care Coordinator in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.