Individual provider Active NPI

Kelly Irene Lipinski, CASE MANAGEMENT

  • Case Manager/Care Coordinator
  • Anchorage, AK
National Provider Identifier
1679298376
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1515 E Tudor Rd Ste 9a
Anchorage, AK 99507-1036
Phone
(832) 409-9104
Fax
(907) 931-7087
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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 Primary

Addresses

Primary practice location

1515 E Tudor Rd Ste 9a
Anchorage, AK 99507-1036

Mailing address

1515 E Tudor Rd Ste 9a
Anchorage, AK 99507-1036
Phone (832) 409-9104

Other names 1

  • Kelly Irene Dunham Former name

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
Harvest Health Case Manager/Care Coordinator CurrentSince Oct 9, 2022 Accepting new patients

Locations

1515 E Tudor Rd
Ste 9A
Anchorage, AK 99507
Phone (832) 409-9104

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.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1679298376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E TUDOR RD STE 9A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071036",
            "telephone_number": "832-409-9104",
            "fax_number": "907-931-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E TUDOR RD STE 9A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071036",
            "telephone_number": "832-409-9104",
            "fax_number": "907-931-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPINSKI",
        "first_name": "KELLY",
        "middle_name": "IRENE",
        "credential": "CASE MANAGEMENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DUNHAM",
            "middle_name": "IRENE",
            "credential": "CASE MANAGEMENT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.