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LYRA PETTICREW M.ED.
NPI 1124237359
Case Manager/Care Coordinator in Wrangell, AK

Active since May 22, 2007
110 LYNCH ST., WRANGELL, AK 99929(907) 874-3375(907) 874-3339 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lyra Petticrew M.ed. NPPES

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

LYRA PETTICREW M.ED. (NPI 1124237359) is an individual case manager/care coordinator provider in Wrangell, Alaska and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1124237359
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameLYRA PETTICREWCredential: M.ED.
Location Address110 LYNCH ST.Wrangell, AK 99929-1231
Mailing AddressPo Box 2127Wrangell, AK 99929-2127 · (907) 874-3375 · Fax (907) 874-3339
Phone(907) 874-3375
Fax(907) 874-3339
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124237359 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.
110 LYNCH ST., Wrangell, AK 99929
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Other Identifiers 1

MedicaidCM 1085AK

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA NELSON
Case Manager/Care Coordinator
110 LYNCH ST.
WRANGELL, AK 99929
Wrangell City And Borough (907) 874-5095
MR. LOUIS-ERIC LEMIRE
Counselor (Mental Health)
110 LYNCH ST.
WRANGELL, AK 99929
Wrangell City And Borough (907) 874-5008

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 Lyra Petticrew's NPI number?

The NPI number for Lyra Petticrew is 1124237359. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Lyra Petticrew located?

Lyra Petticrew practices at 110 Lynch St., Wrangell, AK 99929. The listed phone number is (907) 874-3375.

What is Lyra Petticrew'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 Lyra Petticrew was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.