Summit Care Coordination

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

SUMMIT CARE COORDINATION

Practice address

4411 W Lake Cir
Anchorage, AK 99502-4911

Phone

(907) 764-5801

NPI assigned

Apr 21, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeanne Moore Kettell

Title

Care Coordinator

Phone

(907) 764-5801

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1972990596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 W LAKE CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 W LAKE CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024911",
            "telephone_number": "907-764-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CARE COORDINATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "MOORE KETTELL",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "CARE COORDINATOR",
        "authorized_official_telephone_number": "907-764-5801"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002066",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah M Summer, RD
• Summerfield Caring Hands LLC
• Loralisa Christine Summerhays, RN
• Heidi Ann Summerlin
• Whitney Hannah Summers, APRN
• Summit Care, LLC (Summit Care, ALH)
• Summit Family Practice, LLC
• Summit Wellness LLC
• Tad Sumner, LCSW, CDCI
• Chasity Dawn Sumrall, LPN

• Case Manager/Care Coordinator in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.