Jeanine Susan Thomas, CARE COORDINATOR

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

43961 K Beach Rd
Soldotna, AK 99669-8276

Phone

(907) 260-1176

Fax

(907) 260-1177

NPI assigned

Mar 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Alaska Community Care

  • Case Management Agency
  • Soldotna, AK
  • NPI 1700232311
  NPD (past)
• Alaska Community Care

  • Case Management Agency
  • Soldotna, AK
  • NPI 1720445711
  NPD (past)

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1689034480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2294",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996692294",
            "telephone_number": "907-260-1176",
            "fax_number": "907-260-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43961 K BEACH RD",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698276",
            "telephone_number": "907-260-1176",
            "fax_number": "907-260-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JEANINE",
        "middle_name": "SUSAN",
        "credential": "CARE COORDINATOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Dermatology and Skin Cancer Clinic of Alaska
• The Nesting Place, LLC
• Sarah Jo Theis
• Theodore Barton
• Diana Thomas
• Hannah Thompson
• Rosel A Thompson
• Kymberlee D Thurmond
• Nicole Anne Tieaskie
• Lindsey Tipton

• Case Manager/Care Coordinator in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.