Active NPI
Elizabeth Chadene Krome, RN, BSN
- Case Management Agency
- Wasilla, AK
National Provider Identifier
1962531301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- CMG9061
- Practice address
- 3642 N Sams Dr
Wasilla, AK 99654-4311 - Phone
- (907) 373-7767
- Fax
- (907) 373-9867
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 7956 | AK | |
| Case Manager/Care Coordinator | 171M00000X | CM29031 | AK | |
| Case Management Agency | 251B00000X | CMG9061 | AK | Primary |
Addresses
Primary practice location
3642 N Sams Dr
Wasilla, AK 99654-4311
Mailing address
PO Box 876051
Wasilla, AK 99687-6051
Phone (907) 373-7767
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM29031 | Medicaid | AK | |
| 7956 | Other | AK | RN LICENSE # |
| CMG9061 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7956 | AK | MD | Registered Nurse |
| CM29031 | AK | MD | Case Manager/Care Coordinator |
| CMG9061 | AK | MD | Case Management Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247616000000",
"number": "1962531301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 876051",
"city": "WASILLA",
"state": "AK",
"postal_code": "996876051",
"telephone_number": "907-373-7767",
"fax_number": "907-373-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3642 N SAMS DR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996544311",
"telephone_number": "907-373-7767",
"fax_number": "907-373-9867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROME",
"first_name": "ELIZABETH",
"middle_name": "CHADENE",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2009-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "7956",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "AK",
"license": "CM29031",
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "AK",
"license": "CMG9061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CM29031",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE #",
"identifier": "7956",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CMG9061",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.