MRS. TRACY MARIE RODDEN-LARSON


Address: 60 Hall St, Fairbanks, AK 99701-4828
Phone: 9074526434

MRS. TRACY MARIE RODDEN-LARSON (NPI# 1790039824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790039824
Entity Type Individual
Full Name MRS. TRACY MARIE RODDEN-LARSON
Practice Address 60 Hall St
Fairbanks
AK 99701-4828
Practice Telephone 9074526434
Practice Fax Number 9074516598
Mailing Telephone 9074526434
Mailing Fax Number 9074516598
Enumeration Date 2012-10-26
Last Update Date 2012-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator AK Other Service Providers

Office Location

Street Address 60 HALL ST
City FAIRBANKS
State AK
Zip Code 99701-4828

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053658161 Robyn Landry Case Manager/Care Coordinator 60 Hall St, Fairbanks, AK 99701-4828 2013-01-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659984987 Resource Center for Parents & Children, Inc. Social Worker 726 26th Ave, Suite #2, Fairbanks, AK 99701 2020-08-26
1134738982 Aaron Paul Sarauer Behavior Technician 3121 Lathrop St., Fairbanks, AK 99701 2020-07-28
1437715505 Fabienne Rose Marie Siddall Case Manager/Care Coordinator 122 1st Avenue, Fairbanks, AK 99701 2019-05-14
1902461957 Jacqueline Marie Rahm Counselor Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 2019-05-06
1821588989 Corrie Wilson Nurse Practitioner 1025 Barnette Street, Fairbanks, AK 99701 2018-05-15
1922519305 Sarishma Sangeeta Lal Registered Nurse 815 2nd Ave Ste 122, Fairbanks, AK 99701 2017-10-12
1245690569 Christine L Simko Naturopath 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 2016-02-29
1932581600 Jennifer Davis Registered Nurse 1025 West Barnette St., Fairbanks, AK 99701 2015-06-18
1700272705 John D. Zipperer Jr Md, LLC Clinic/Center 751 Old Richardson Hwy., Fairbanks, AK 99701 2015-04-07
1578957460 Mara Justine Becker Physician Assistant 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 2015-03-27
Find all providers in zip 99701

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922665132 Yelena Petkova Case Manager/Care Coordinator 270 Fairhill Rd, Fairbanks, AK 99712-1614 2019-05-22
1437715505 Fabienne Rose Marie Siddall Case Manager/Care Coordinator 122 1st Avenue, Fairbanks, AK 99701 2019-05-14
1528624699 Christy Ann Herman Case Manager/Care Coordinator 661 Fordham Dr, Fairbanks, AK 99709-6763 2019-05-14
1144795055 Debbie A Clarke Case Manager/Care Coordinator 1173 Sunset Dr, Fairbanks, AK 99709-4745 2018-10-06
1679938096 Rachel Pleasants Case Manager/Care Coordinator 1422 Hampstead Ave, Fairbanks, AK 99701-2729 2015-12-30
1700163565 Anita M Rodriguez Case Manager/Care Coordinator 3407 Airport Way, Fairbanks, AK 99709-4761 2011-11-08
1295045508 Kelly Eggleston Case Manager/Care Coordinator 764 Adventure Road, Fairbanks, AK 99712 2010-10-20
1093030025 Robin Jane Boggs Case Manager/Care Coordinator 3875 Geist Rd Ste E312, Fairbanks, AK 99709-3549 2010-04-01
1659601771 Georgia Reynolds Case Manager/Care Coordinator 526 Gaffney Rd, Suite 100, Fairbanks, AK 99701-4914 2010-01-12
1184864274 Karma Brown Case Manager/Care Coordinator 764 Adventure Rd, Fairbanks, AK 99712-3330 2009-03-02
Find all providers in FAIRBANKS

Competitor

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City FAIRBANKS
Zip Code 99701

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Dataset Information

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.

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