Individual provider Active NPI

Luann R Lauesen

  • Case Manager/Care Coordinator
  • Fairbanks, AK
National Provider Identifier
1528323565
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
201 1St Ave Ste 300
Tanana Chiefs Conference (Senior Services)
Fairbanks, AK 99701-4848
Phone
(907) 452-8251
Fax
(907) 459-3985
NPI assigned
Jul 5, 2012
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

201 1St Ave Ste 300
Tanana Chiefs Conference (Senior Services)
Fairbanks, AK 99701-4848

Mailing address

201 1St Ave Ste 300
Tanana Chiefs Conference (Senior Services)
Fairbanks, AK 99701-4848
Phone (907) 452-8251

Other identifiers 1

IdentifierTypeStateIssuer
MH0157MedicaidAK

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tanana Chiefs Conference CurrentSince Feb 6, 2022 Accepting new patients

Locations

201 1st Ave
Ste 300
Fairbanks, AK 99701
Phone (907) 798-7323

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1528323565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 1ST AVE STE 300",
            "address_2": "TANANA CHIEFS CONFERENCE (SENIOR SERVICES)",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014848",
            "telephone_number": "907-452-8251",
            "fax_number": "907-459-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 1ST AVE STE 300",
            "address_2": "TANANA CHIEFS CONFERENCE (SENIOR SERVICES)",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014848",
            "telephone_number": "907-452-8251",
            "fax_number": "907-459-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUESEN",
        "first_name": "LUANN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH0157",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.