Active NPI
Liza Tulio McCafferty, M.S.
- Case Manager/Care Coordinator
- Palmer, AK
National Provider Identifier
1669682373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 74772
- Practice address
- 6445 E Blue Lupine Dr.
Palmer, AK 99645-6445 - Phone
- (907) 745-8655
- Fax
- (907) 745-8654
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 Manager/Care Coordinator | 171M00000X | 74772 | AK | Primary |
Addresses
Primary practice location
6445 E Blue Lupine Dr.
Palmer, AK 99645-6445
Mailing address
6445 E Blue Lupine Dr.
Palmer, AK 99645-6445
Phone (907) 745-8655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74772 | Medicaid | AK |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74772 | AK | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1669682373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6445 E BLUE LUPINE DR.",
"city": "PALMER",
"state": "AK",
"postal_code": "996456445",
"telephone_number": "907-745-8655",
"fax_number": "907-745-8654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6445 E BLUE LUPINE DR.",
"city": "PALMER",
"state": "AK",
"postal_code": "996456445",
"telephone_number": "907-745-8655",
"fax_number": "907-745-8654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAFFERTY",
"first_name": "LIZA",
"middle_name": "TULIO",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "AK",
"license": "74772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74772",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.