Individual provider Active NPI

Sherry L Saxon

  • Case Manager/Care Coordinator
  • Wasilla, AK
National Provider Identifier
1518402080
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
CC NEW Issued in AK
Practice address
500 E Swanson Ave
Suite #5
Wasilla, AK 99654-7197
Phone
(907) 373-1000
Fax
(888) 588-5194
NPI assigned
Dec 19, 2016
Last updated
Dec 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CC NEW AK Primary

Addresses

Primary practice location

500 E Swanson Ave
Suite #5
Wasilla, AK 99654-7197

Mailing address

14149 W Tidal Way Apt 1
Wasilla, AK 99623-0508
Phone (907) 373-1000

Other identifiers 1

IdentifierTypeStateIssuer
NEW CCMedicaidAK

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CC NEWAKMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1518402080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14149 W TIDAL WAY APT 1",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996230508",
            "telephone_number": "907-373-1000",
            "fax_number": "888-588-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E SWANSON AVE",
            "address_2": "SUITE #5",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547197",
            "telephone_number": "907-373-1000",
            "fax_number": "888-588-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXON",
        "first_name": "SHERRY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "CC NEW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NEW CC",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.