JAY RANDOLPH DAGENHART
NPI 1396400685
Case Manager/Care Coordinator in Wasilla, AK

Q: What is the provider's specialty?

The provider's specialty is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since November 02, 2021

591 S KNIK GOOSE BAY RD, WASILLA, AK 99654(190) 731-3456 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
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Individual
Male
Case Manager/Care Coordinator

About JAY DAGENHART

This page provides the complete NPI Profile along with additional information for Jay Dagenhart, a provider established in Wasilla, Alaska with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1396400685 assigned on November 2021. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI: 1396400685 Verify this NPI
Provider Name: JAY RANDOLPH DAGENHART
Gender: Male
Entity Type: Individual
Location Address: 591 S KNIK GOOSE BAY RD WASILLA, AK 99654
Location Phone: (190) 731-3456
Mailing Address: 591 S KNIK GOOSE BAY RD WASILLA, AK 99654
Mailing Phone: (190) 731-3456
Is Sole Proprietor?: No
Enumeration Date: 11-02-2021
Last Update Date: 11-02-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Case Manager/Care Coordinator
Taxonomy Code: 171M00000X
Type: Other Service Providers
Taxonomy Description: 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.