MR. TRACY HODGES (NPI# 1245440262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245440262 |
| Entity Type | Individual |
| Full Name | MR. TRACY HODGES |
| Credential | CARE COORDINATOR |
| Practice Address |
700 Katlian St Ste B Sitka AK 99835-7359 |
| Practice Telephone | 9077476960 |
| Practice Fax Number | 9077474868 |
| Mailing Telephone | 9077476960 |
| Mailing Fax Number | 9077474868 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-09 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CM3973 | 05 |
| Street Address |
700 KATLIAN ST STE B |
| City | SITKA |
| State | AK |
| Zip Code | 99835-7359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578727764 | Wilma C Gauthier | Case Manager/Care Coordinator | 700 Katlian St Ste B, Sitka, AK 99835-7359 | 2008-07-16 |
| 1225296015 | Gayle Young | Case Manager/Care Coordinator | 700 Katlian St Ste B, Sitka, AK 99835-7359 | 2008-05-28 |
| 1659579886 | Rachel Ann Ginn | Case Manager/Care Coordinator | 700 Katlian St Ste B, Sitka, AK 99835-7359 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
| 1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
| 1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
| 1689194599 | Heather Chandler | Social Worker | 113 Metlakatla Steet, Sitka, AK 99835 | 2017-06-21 |
| 1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
| 1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
| 1700167830 | Allison Richmond Allen | Physical Therapy Assistant | 12 Lifesaver Drive, Sitka, AK 99835 | 2011-09-02 |
| 1023336617 | Hollie E Mulanax | Community Health Worker | 408 Lake Street #2, Sitka, AK 99835 | 2010-05-07 |
| Find all providers in zip 99835 | ||||
| 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 |
|---|---|---|---|---|
| 1588057400 | Ryan Laine | Case Manager/Care Coordinator | 222 Tongass Dr, Sitka, AK 99835-9416 | 2015-03-17 |
| 1003042532 | Natalia Kristi Potrzuski | Case Manager/Care Coordinator | 701 Indian River Rd, Sitka, AK 99835-7480 | 2009-06-10 |
| 1295961894 | Janelle Marie Kimberlin | Case Manager/Care Coordinator | 701 Indian River Rd, Sitka, AK 99835-7480 | 2009-06-09 |
| 1578727764 | Wilma C Gauthier | Case Manager/Care Coordinator | 700 Katlian St Ste B, Sitka, AK 99835-7359 | 2008-07-16 |
| 1225296015 | Gayle Young | Case Manager/Care Coordinator | 700 Katlian St Ste B, Sitka, AK 99835-7359 | 2008-05-28 |
| 1659579886 | Rachel Ann Ginn | Case Manager/Care Coordinator | 700 Katlian St Ste B, Sitka, AK 99835-7359 | 2007-07-10 |
| 1093924193 | Christine L Davison | Case Manager/Care Coordinator | 700 Katlian St, Suite B, Sitka, AK 99835-7314 | 2007-05-22 |
| 1871622605 | Margaret Andrews | Case Manager/Care Coordinator | 700 Katlian St, Suite B, Sitka, AK 99835-7314 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012920 | Katie Kendrick | Case Manager/Care Coordinator | 510 Upland St, Kenai, AK 99611-8028 | 2020-10-29 |
| 1194337519 | Michael P Nicolai | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 | 2020-08-18 |
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 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 |
| 1922625276 | Heather Tenboer | Case Manager/Care Coordinator | 3480 W Birch Meadows Rd, Wasilla, AK 99654-0534 | 2020-07-02 |
| 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 |
| 1245850403 | Positive Path LLC | Case Manager/Care Coordinator | 7647 W Tia Terrace Dr, Wasilla, AK 99623-0332 | 2020-04-17 |
| Find all providers with the same taxonomy | ||||
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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.