Sherri L Paul, CADC

Individual provider Active NPI Case Manager/Care Coordinator · Fort Dodge, IA

NPI 1992167217 · NPPES record last updated Mar 25, 2016

Key facts

NPI
1992167217
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
15027 (IA)
Practice address
826 1St Ave N
Fort Dodge, IA 50501-3906
Phone
(515) 573-3931
Fax
(515) 573-3950
NPI assigned
Mar 25, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
15027IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Dodge Ywca Women'S Halfway House Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 15027 IA Yes

Addresses

Primary practice location

826 1St Ave N
Fort Dodge, IA 50501-3906

Mailing address

826 1St Ave N
Fort Dodge, IA 50501-3906
Phone (515) 573-3931

Other providers in Fort Dodge, IA

All providers in Fort Dodge, IA · Case Manager/Care Coordinator in Iowa

Sources for this page

Verify at the official NPI Registry.