LORRAINE FULLBRIGHT (NPI# 1902020290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902020290 |
| Entity Type | Individual |
| Full Name | LORRAINE FULLBRIGHT |
| Practice Address |
18606 Old Glenn Highway Chugiak AK 99567 |
| Mailing Address |
Po Box 671750 Chugiak AK 99567-1750 |
| Practice Telephone | 9076880282 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CM6474 | AK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CM6474 | 05 |
| Street Address |
18606 OLD GLENN HIGHWAY |
| City | CHUGIAK |
| State | AK |
| Zip Code | 99567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114143427 | Linda Gonzales | Case Manager/Care Coordinator | 18606 Old Glenn Highway, Chugiak, AK 99567-1750 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326552217 | Lilian Alison Crites-flesher | Massage Therapist | 21944 Rankin Rd, Chugiak, AK 99567 | 2017-11-30 |
| 1457886368 | Deborah Joyce Forcht | Nurse Practitioner | 22525 Ursa Major Circle, Chugiak, AK 99567 | 2017-04-28 |
| 1871976662 | Aurora Advocacy LLC | Case Management | 19991 Tulwar Drive, Chugiak, AK 99567 | 2015-06-30 |
| 1497028526 | Phillip D. Courtney | Contractor | 18708 Sue Tawn Drive, Chugiak, AK 99567 | 2012-02-21 |
| 1265717540 | Aurora Borealis Assisted Living Home LLC | Assisted Living Facility | 22179 North Birchwood Loop, Chugiak, AK 99567 | 2011-10-18 |
| 1114184181 | Cs Wellness, LLC | Chiropractor | 20775 Old Glenn Highway, Chugiak, AK 99567 | 2008-05-19 |
| 1295909588 | Patricia Ann Morgan | Speech-Language Pathologist | 18618 Amonson Road, Chugiak, AK 99567 | 2008-04-17 |
| 1053505917 | Chugiak Volunteer Fire & Rescue Inc | Ambulance | 17214 Old Glenn Hwy, Chugiak, AK 99567 | 2007-09-04 |
| 1235273343 | Kirby W Holtman | Chiropractor | 20963 Bill Stephens Dr., Chugiak, AK 99567 | 2007-02-20 |
| 1811098353 | Orla William Karn | Dentist | 20905 Eastside Dr. D-1, Chugiak, AK 99567 | 2006-09-26 |
| Find all providers in zip 99567 | ||||
| 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 |
|---|---|---|---|---|
| 1295382331 | Lindsey C Baker | Case Manager/Care Coordinator | 21659a Songbird Dr, Chugiak, AK 99567-5615 | 2019-08-22 |
| 1710145313 | Jimael Lawson | Case Manager/Care Coordinator | 18606 Old Glen Hwy, Chugiak, AK 99567-1750 | 2008-05-30 |
| 1306060694 | Sara Waltman | Case Manager/Care Coordinator | 18606 Old Glenn Hwy, Chugiak, AK 99567-1750 | 2007-04-11 |
| 1659904985 | Aaron Christiansen | Case Manager/Care Coordinator | 21659a Songbird Dr, Chugiak, AK 99567-5615 | 2020-02-14 |
| 1215578711 | Patsy E Hurn | Case Manager/Care Coordinator | 21659a Songbird Dr, Chugiak, AK 99567-5615 | 2019-10-05 |
| 1366685455 | Desiree Gold | Case Manager/Care Coordinator | 18606 Old Glenn Hwy, Chugiak, AK 99567-1750 | 2009-04-20 |
| 1417132135 | Faith Brainerd Kelly | Case Manager/Care Coordinator | 18606 Old Glen Highway, Chugiak, AK 99567-1750 | 2007-12-31 |
| 1114143427 | Linda Gonzales | Case Manager/Care Coordinator | 18606 Old Glenn Highway, Chugiak, AK 99567-1750 | 2007-04-17 |
| 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.