Baykham Keodouangdy, AAS BUSINESS M.

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

8130 Old Seward Hwy
Unit 103
Anchorage, AK 99518-3358

Phone

(907) 929-5826

Fax

(907) 929-5862

NPI assigned

Sep 21, 2012

Sex

Male

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

Credentials

Associate of Applied Science

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.

• Shine Bright Care, LLC

  • In Home Supportive Care Agency
  • Anchorage, AK
  • NPI 1609311430
  NPD Authorized official

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1871844571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 OLD SEWARD HWY",
            "address_2": "UNIT 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183358",
            "telephone_number": "907-929-5826",
            "fax_number": "907-929-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 OLD SEWARD HWY",
            "address_2": "UNIT 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183358",
            "telephone_number": "907-929-5826",
            "fax_number": "907-929-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEODOUANGDY",
        "first_name": "BAYKHAM",
        "name_prefix": "Mr.",
        "credential": "AAS BUSINESS M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Y K Chang Accent on Dentistry
• Stasia A Kennett
• Anastasia Marie Kenney, LPC
• Jeffery Kenney
• Theresa K Kennon, FNP-BC
• Lee Keodouangdy
• Rachel Mauryce Kerford Lescher, MD
• Nadia Ann Kerman
• Calista E Kern-Lyons
• Chandria Kern

• Social Worker in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.