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ALEXANDRA ACTIVE
NPI 1164896775
Case Manager/Care Coordinator in Bethel, AK

Active since November 19, 2015
460 RIDGECREST DRIVE, SUITE 215, BETHEL, AK 99559(907) 543-2762(907) 543-3152 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexandra Active NPPES

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

ALEXANDRA ACTIVE (NPI 1164896775) is an individual case manager/care coordinator provider in Bethel, Alaska and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1164896775
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameALEXANDRA ACTIVE
Location Address460 RIDGECREST DRIVE, SUITE 215Bethel, AK 99559-0528
Mailing AddressPo Box 528, Attn: Bh Dd ServicesBethel, AK 99559-0528 · (907) 543-2762 · Fax (907) 543-3152
Phone(907) 543-2762
Fax(907) 543-3152
Sole ProprietorNo
Enumeration DateNovember 19, 2015
✔ NPI 1164896775 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.
460 RIDGECREST DRIVE, Bethel, AK 99559
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Other Identifiers 1

Medicaid1002447AK

Other Providers at the Same Location NPPES 9

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

IVY KATHERINE RILEY
Case Manager/Care Coordinator
460 RIDGECREST DRIVE, SUITE 215
BETHEL, AK 99559
Bethel (907) 543-2762
SOUTHERN HOME CARE SERVICES, INC.
In Home Supportive Care
460 RIDGECREST DRIVE, STE 110
BETHEL, AK 99559
Bethel (907) 543-7788
DEONNA GRAHAM
Day Training/Habilitation Specialist
460 RIDGECREST DRIVE, SUITE 214
BETHEL, AK 99559
Bethel (907) 543-2762
JARIS MICHAELS
Case Manager/Care Coordinator
460 RIDGECREST DRIVE, SUITE 215
BETHEL, AK 99559
Bethel (907) 543-2762
MRS. SERENA ROSE SOLESBEE
Case Manager/Care Coordinator
460 RIDGECREST DRIVE, SUITE 215
BETHEL, AK 99559
Bethel (907) 543-2762
ROCHELLE ANDREWS
Case Manager/Care Coordinator
460 RIDGECREST DRIVE, SUITE 209
BETHEL, AK 99559
Bethel (907) 543-3690
KIRA POLK
Day Training/Habilitation Specialist
460 RIDGECREST DRIVE, SUITE 215
BETHEL, AK 99559
Bethel (907) 543-2762
STACY TAYLOR
Case Manager/Care Coordinator
460 RIDGECREST DRIVE, SUITE 209
BETHEL, AK 99559
Bethel (907) 543-1777

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 Alexandra Active's NPI number?

The NPI number for Alexandra Active is 1164896775. It was assigned to this individual provider in the NPPES registry on November 19, 2015.

Where is Alexandra Active located?

Alexandra Active practices at 460 Ridgecrest Drive Suite 215, Bethel, AK 99559. The listed phone number is (907) 543-2762.

What is Alexandra Active'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 Alexandra Active was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.