YELENA PETKOVA (NPI# 1922665132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922665132 |
Entity Type | Individual |
Full Name | YELENA PETKOVA |
Practice Address |
270 Fairhill Rd Fairbanks AK 99712-1614 |
Mailing Address |
607 Old Steese Hwy Ste B176 Fairbanks AK 99701-3163 |
Practice Telephone | 9074571158 |
Practice Fax Number | 9074571198 |
Mailing Telephone | 9074571158 |
Mailing Fax Number | 9074571198 |
Enumeration Date | 2019-05-22 |
Last Update Date | 2019-05-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
270 Fairhill Rd, Fairbanks, AK 997121614 | 9074571158 | 9074571198 |
Street Address |
270 FAIRHILL RD |
City | FAIRBANKS |
State | AK |
Zip Code | 99712-1614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295216687 | Janet Lynn Juenke | Massage Therapist | 615 O'leary Rd, Fairbanks, AK 99712 | 2018-08-24 |
1730618422 | Melody Waldroup | Massage Therapist | 845 Birch Hill Rd, Fairbanks, AK 99712 | 2017-06-07 |
1154715928 | Relax Your Mind, Body and Soul | Clinic/Center | 559 Golden Morn St, Fairbanks, AK 99712 | 2015-03-19 |
1295045508 | Kelly Eggleston | Case Manager/Care Coordinator | 764 Adventure Road, Fairbanks, AK 99712 | 2010-10-20 |
1588871628 | Country Estates Inc | Assisted Living Facility | 240 Peregrine Drive, Fairbanks, AK 99712 | 2007-05-17 |
1275754012 | Presbyterian Hospitality House | Residential Treatment Facility, Emotionally Disturbed Children | 7609 Chena Hot Springs Rd, Fairbanks, AK 99712 | 2007-05-01 |
1750717922 | Moveit Physical Therapy, LLC | Clinic/Center | 665 Aspen Heights Dr, Fairbanks, AK 99712-1111 | 2013-09-19 |
1144669052 | Jessica Revells | Occupational Therapy Assistant | 734 Manchester Loop, Fairbanks, AK 99712-1120 | 2013-06-25 |
1134455397 | Farmers Loop Home, LLC | Assisted Living Facility | 1002 Senate Loop, 1002 Senate Loop, Fairbanks, AK 99712-1130 | 2009-10-22 |
1417227752 | Viola L Mccain | Social Worker | 1335 Skyline Dr, Fairbanks, AK 99712-1151 | 2012-01-04 |
Find all providers in zip 99712 |
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 |
---|---|---|---|---|
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 |
1790039824 | Tracy Marie Rodden-larson | Case Manager/Care Coordinator | 60 Hall St, Fairbanks, AK 99701-4828 | 2012-10-26 |
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 |
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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.