Desiree Feringa

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

6640 S Calista Drive
Wasilla, AK 99623

Phone

(907) 232-5546

NPI assigned

Apr 30, 2019

Last updated

Apr 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1801450382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879422",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996879422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 S CALISTA DRIVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99623",
            "telephone_number": "907-232-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERINGA",
        "first_name": "DESIREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNKNOWN",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.facebook.com/evergreencarecoordination",
            "affiliation": "N",
            "endpointDescription": "Facebook page",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Facebook",
            "address_1": "6640 S Calista Drive",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "99623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ellen Dee Faucett, D.O.
• Amanda Marie Fedewa
• Liudmila Fedor, FNP-C
• Rebecca Felch
• Lisa Feltz, M.A. CCC-SLP
• Herman H.H. Feringa, M.D., PH.D.
• Elizabeth Fernandez Guerra, DDS
• Vanessa Marie Fernandez-Miro, DO
• Christopher Ferrell
• Meda Ferrenburg, LMT

• Case Manager/Care Coordinator in Wasilla, AK
• Providers in Wasilla, 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 Apr 30, 2019; 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.