CARL EKSTROM (NPI# 1063782753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063782753 |
| Entity Type | Individual |
| Full Name | CARL EKSTROM |
| Practice Address |
6311 Debarr Rd Ste. L2 Anchorage AK 99504-1787 |
| Practice Telephone | 9073363365 |
| Practice Fax Number | 9073363397 |
| Mailing Telephone | 9073363365 |
| Mailing Fax Number | 9073363397 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
6311 DEBARR RD STE. L2 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-1787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316081466 | Karen Elizabeth Adams | Physical Therapist | 6311 Debarr Rd, Suite J, Anchorage, AK 99504-1701 | 2007-02-20 |
| 1871194324 | David Pilon | Physical Therapy Assistant | 6311 Debarr Rd, Anchorage, AK 99504-1787 | 2020-11-02 |
| 1497262059 | Kathryn Lynn Cantrell | Occupational Therapy Assistant | 6311 Debarr Rd, Anchorage, AK 99504-1787 | 2018-01-04 |
| 1124489232 | Jason Colon | Occupational Therapist | 6311 Debarr Rd, Suite J, Anchorage, AK 99504-1787 | 2016-03-16 |
| 1811376221 | Lauren Athas | Occupational Therapist | 6311 Debarr Rd, #j, Anchorage, AK 99504-1787 | 2015-05-19 |
| 1356778062 | Katelyn Elizabeth Mcquate | Occupational Therapy Assistant | 6311 Debarr Rd, Unit J, Anchorage, AK 99504-1787 | 2013-09-26 |
| 1447597737 | John Robertson Brown | Social Worker | 6311 Debarr Rd, Suite L-2, Anchorage, AK 99504-1787 | 2013-01-07 |
| 1174884217 | Melissa A Sparr | Occupational Therapist | 6311 Debarr Rd, Suite J Russian Jack Plaza, Anchorage, AK 99504-1787 | 2012-06-05 |
| 1013138460 | Kids Are People Too LLC | Physical Therapist | 6311 Debarr Rd, Suite J, Anchorage, AK 99504-1701 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
| 1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
| 1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
| 1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
| 1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
| 1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
| Find all providers in zip 99504 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710597679 | Holly Reynoso | Case Manager/Care Coordinator | 14232 Snowdrift Way, Anchorage, AK 99515-4165 | 2020-08-05 |
| 1588272157 | Far North Care Coordination Agency | Case Manager/Care Coordinator | 2230 Sentry Dr Apt B308, Anchorage, AK 99507-4688 | 2020-07-20 |
| 1518581834 | Eric Edward Villasenor | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 9a, Anchorage, AK 99507-1036 | 2020-06-02 |
| 1982225934 | Rebecca Cho | Case Manager/Care Coordinator | 7556 Tarsus Dr, Anchorage, AK 99502-1888 | 2020-04-30 |
| 1396365086 | Kaleidoscope Care Coordination LLC | Case Manager/Care Coordinator | 6534 Mulberry Dr, Anchorage, AK 99502-2160 | 2020-04-22 |
| 1982232856 | Galina B Turnipseed | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 9, Anchorage, AK 99507-1036 | 2020-03-27 |
| 1407496862 | Anchorage Care Coordination, LLC | Case Manager/Care Coordinator | 11761 Spyglass Cir, Anchorage, AK 99515-2706 | 2020-01-13 |
| 1073157897 | Thelma Desjarlais | Case Manager/Care Coordinator | 9201 Shorecrest Drive, Anchorage, AK 99502 | 2019-11-05 |
| 1194366070 | Sean Alyston Sullivan | Case Manager/Care Coordinator | 1645 Mountainman Loop, Anchorage, AK 99507-1975 | 2019-10-02 |
| 1164072088 | Carolyn Palembas | Case Manager/Care Coordinator | 1905 E 4th Ave, Anchorage, AK 99501-2908 | 2019-09-12 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.