Nicole Renee Carl
Case Manager/Care Coordinator in Bethel, AK. Individual provider (NPI-1).
NPI number1295149656
StatusActive
Last updated in NPPESJun 13, 2014
Details
- NPI
- 1295149656
- Entity type
- Individual (NPI-1)
- Name
- Nicole Renee Carl
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2014
- Last updated
- Jun 13, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 373H00000X | Day Training/Habilitation Specialist | – | – |
Practice location
460 Ridgecrest Drive Suite 215Bethel, AK 99559-0528
Phone 907-543-2762 · Fax 907-543-3152
Mailing address
Po Box 528Attn: Bh Dd Services
Bethel, AK 99559-0528
Phone 907-543-2762 · Fax 907-543-3152
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 85 Case Manager/Care Coordinator providers in Bethel · All 1,456 providers in Bethel
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