Lorraine Fullbright
Individual provider Active NPI Case Manager/Care Coordinator · Chugiak, AK
NPI 1902020290 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902020290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- CM6474 (AK)
- Practice address
- 18606 Old Glenn Highway
Chugiak, AK 99567 - Phone
- (907) 688-0282
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CM6474 | AK | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Outreach Center for Understanding Special Needs Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CM6474 | AK | Yes |
Addresses
Primary practice location
18606 Old Glenn Highway
Chugiak, AK 99567
Mailing address
PO Box 671750
Chugiak, AK 99567-1750
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM6474 | Medicaid | AK |
Other providers in Chugiak, AK
- Christie Counsman Eberhardt
- David Farmer
- Charlotte Louise Foley
- Deborah Joyce Forcht
- Alexandria Michelle Ford
- Shane D Ghramm
- Desiree Gold
- Linda Gonzales
- Rachael Elizabeth Hacke
- Hands on Healthcare
All providers in Chugiak, AK · Case Manager/Care Coordinator in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.