Jennifer Church

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1750 Abbott Rd
Anchorage, AK 99507-3450

Phone

(907) 561-3133

Fax

(907) 561-3315

NPI assigned

Jun 2, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: jennifer.church@adra.directak.net

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.

• Alzheimer'S Disease Resource Agency of Alaska, Inc.

  • Case Manager/Care Coordinator
  • Anchorage, AK
  • NPI 1316151095
  NPD (past)

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1699414086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 ABBOTT RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073450",
            "telephone_number": "907-561-3313",
            "fax_number": "907-561-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 ABBOTT RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073450",
            "telephone_number": "907-561-3133",
            "fax_number": "907-561-3315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 N Crusey St Ste B101",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547101",
            "country_code": "US",
            "telephone_number": "907-746-3445",
            "fax_number": "907-746-3439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2354 Mendenhall Loop Rd Ste 79",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998018001",
            "country_code": "US",
            "telephone_number": "907-500-7456",
            "fax_number": "907-500-7457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jennifer.Church@adra.directak.net",
            "affiliation": "N",
            "address_1": "1750 Abbott Rd",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995073450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chung Mea Ha, M.D., P.C.
• Hyun Sun Chung
• Richard T Chung, MD
• Yichen Chung, PT
• Jana Marie Church, PHARM D
• Robert Dean Church, M.D.
• Barbara Arps Churchill, DDS
• Alyssa Cimino, MS
• Nicholas Cimperman, PTA
• Brian Dennis Cin, O.D.

• Case Manager/Care Coordinator in Anchorage, AK
• Providers in Anchorage, 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 Jun 2, 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.