Glenn Wrightsman

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

CMGX Issued in AK

Practice address

1584 Hilton Ave
Fairbanks, AK 99701-4016

Phone

(907) 750-7488

NPI assigned

Feb 23, 2016

Sex

Male

Sole proprietor

Yes

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

State licenses

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.

• Dynami Care Coordination LLC

  • Case Management Agency
  • Fairbanks, AK
  • NPI 1609231984
  NPD (past) Authorized official

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1871952580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73331",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997073331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1584 HILTON AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014016",
            "telephone_number": "907-750-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHTSMAN",
        "first_name": "GLENN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": "CMGX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscina Wright
• Patricia Ann Wright
• Rolanda Jeanelle Wright
• Shirley Wright, RBT
• William Wright
• Bovey Jingzhu Wu, DO
• Glenn Eduard Christiane Wuyts
• WW Enterprise, LLC
• Monica Wyatt, RN
• Kenneth W Wyman II

• Case Management Agency in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Case Management Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.