Active NPI
Cecilia De Leon
- Case Manager/Care Coordinator
- Anchorage, AK
National Provider Identifier
1972789899
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Oct 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 436948
- Practice address
- 500 E Tudor Rd
Anchorage, AK 99503-7368 - Phone
- (907) 563-5002
- Fax
- (907) 563-5047
- NPI assigned
- Jan 10, 2008
- Last updated
- Jan 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 436948 | AK | Primary |
Addresses
Primary practice location
500 E Tudor Rd
Anchorage, AK 99503-7368
Mailing address
500 E Tudor Rd
Anchorage, AK 99503-7368
Phone (907) 563-5002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CMG911 | 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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 436948 | AK | MD | Case Manager/Care Coordinator |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Anchorage, AK
- NPI 1942457288
-
- Supports Brokerage Agency
- Anchorage, AK
- NPI 1477704294
-
- Case Management Agency
- Anchorage, AK
- NPI 1548443609
-
- Supports Brokerage Agency
- Anchorage, AK
- NPI 1699987156
-
- Non-emergency Medical Transport (VAN)
- Anchorage, AK
- NPI 1790073484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1972789899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E TUDOR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995037368",
"telephone_number": "907-563-5002",
"fax_number": "907-563-5047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E TUDOR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995037368",
"telephone_number": "907-563-5002",
"fax_number": "907-563-5047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LEON",
"first_name": "CECILIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "AK",
"license": "436948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CMG911",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.