Active NPI
Evan Kuuipo Tumbaga
- Case Management Agency
- Kenai, AK
National Provider Identifier
1528351228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 550871179
- Practice address
- 11312 Kenai Spur Hwy
Suite 63
Kenai, AK 99611-7754 - Phone
- (907) 335-2008
- Fax
- (907) 335-4673
- NPI assigned
- May 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 550871179 | AK | Primary |
Addresses
Primary practice location
11312 Kenai Spur Hwy
Suite 63
Kenai, AK 99611-7754
Mailing address
11312 Kenai Spur Hwy
Suite 63
Kenai, AK 99611-7754
Phone (907) 335-2008
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consumer Care Network Inc | Past | Accepting new patients |
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.
-
- Home Health Agency
- Kenai, AK
- NPI 1003056623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1528351228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11312 KENAI SPUR HWY",
"address_2": "SUITE 63",
"city": "KENAI",
"state": "AK",
"postal_code": "996117754",
"telephone_number": "907-335-2008",
"fax_number": "907-335-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11312 KENAI SPUR HWY",
"address_2": "SUITE 63",
"city": "KENAI",
"state": "AK",
"postal_code": "996117754",
"telephone_number": "907-335-2008",
"fax_number": "907-335-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUMBAGA",
"first_name": "EVAN",
"middle_name": "KUUIPO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-27",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "AK",
"license": "550871179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenai, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.