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INDIE C OLIVER LANDRUM
NPI 1063938587
Case Manager/Care Coordinator in San Diego, CA

Active since August 16, 2017
2220 BROADWAY, SAN DIEGO, CA 92104(619) 232-8126 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Aug 16, 2017 (2 updates tracked since 2017).

About Indie C Oliver Landrum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIE C OLIVER LANDRUM (NPI 1063938587) is an individual case manager/care coordinator provider in San Diego, California and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1063938587
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameINDIE C OLIVER LANDRUM
Location Address2220 BROADWAYSan Diego, CA 92104
Mailing Address2220 BroadwaySan Diego, CA 92102-1926 · (619) 232-8126
Phone(619) 232-8126
Sole ProprietorNo
Enumeration DateAugust 16, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1063938587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
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.
2220 BROADWAY, San Diego, CA 92104
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Other Names 1

Former Name (1)Anka Carroll Landrum

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indie Landrum's NPI number?

The NPI number for Indie Landrum is 1063938587. It was assigned to this individual provider in the NPPES registry on August 16, 2017. The provider is also known as Anka Carroll Landrum.

Where is Indie Landrum located?

Indie Landrum practices at 2220 Broadway, San Diego, CA 92104. The listed phone number is (619) 232-8126.

What is Indie Landrum's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Indie Landrum was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.