Katy Elane Dassuncao

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

300 Shelton St
Chadron, NE 69337-2312

Phone

(308) 762-3696

Fax

(308) 762-1324

NPI assigned

Mar 2, 2023

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

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": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1881393403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SHELTON ST",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693372312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SHELTON ST",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693372312",
            "telephone_number": "308-762-3696",
            "fax_number": "308-762-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASSUNCAO",
        "first_name": "KATY",
        "middle_name": "ELANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Chadron, NE
• Providers in Chadron, NE by specialty
• Case Manager/Care Coordinator in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.