Organization Active NPI

Jamie Panzero

  • Case Management Agency
  • Sterling, AK
National Provider Identifier
1770767949
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
JAMIE PANZERO
Practice address
36745 Fueding Lane
Sterling, AK 99672
Phone
(907) 398-2369
Fax
(907) 262-6690
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Jamie Panzero, RN,BSNNPI 1205010477
Title
Owner
Phone
(907) 398-2369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X AK Primary

Addresses

Primary practice location

36745 Fueding Lane
Sterling, AK 99672

Mailing address

PO Box 1055
Soldotna, AK 99669-1055
Phone (907) 398-2369

Other identifiers 1

IdentifierTypeStateIssuer
CMG874MedicaidAK

Other names 1

  • Dancing Bear Care Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1770767949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1055",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996691055",
            "telephone_number": "907-398-2369",
            "fax_number": "907-262-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36745 FUEDING LANE",
            "city": "STERLING",
            "state": "AK",
            "postal_code": "99672",
            "telephone_number": "907-398-2369",
            "fax_number": "907-262-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE PANZERO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "PANZERO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-398-2369",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMG874",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dancing Bear Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.