Individual provider Active NPI

Aaron Christiansen

  • Case Manager/Care Coordinator
  • Chugiak, AK
National Provider Identifier
1659904985
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
CCCERT111 Issued in AK
Practice address
21659A Songbird Dr
Chugiak, AK 99567-5615
Phone
(907) 373-1000
Fax
(888) 588-5194
NPI assigned
Feb 14, 2020
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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 CCCERT111 AK Primary

Addresses

Primary practice location

21659A Songbird Dr
Chugiak, AK 99567-5615

Mailing address

21659A Songbird Dr
Chugiak, AK 99567-5615
Phone (907) 373-1000

Other identifiers 1

IdentifierTypeStateIssuer
CCCERT111MedicaidAK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frances.walker@svcc.directak.net Health Information Exchange (HIE)

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
CCCERT111AKMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1659904985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21659A SONGBIRD DR",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995675615",
            "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": "21659A SONGBIRD DR",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995675615",
            "telephone_number": "907-373-1000",
            "fax_number": "888-588-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "AARON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "CCCERT111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CCCERT111",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frances.walker@svcc.directak.net",
            "affiliation": "N",
            "endpointDescription": "DSM",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21659A Songbird Dr",
            "city": "Chugiak",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995675615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chugiak, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.