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DERIKA LIFE
NPI 1396582904
Case Manager/Care Coordinator in Fairbanks, AK

Active since July 10, 2024
909 CUSHMAN ST STE 103, FAIRBANKS, AK 99701(907) 456-4620 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derika Life NPPES

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

DERIKA LIFE (NPI 1396582904) is an individual case manager/care coordinator provider in Fairbanks, Alaska and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1396582904
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameDERIKA LIFE
Location Address909 CUSHMAN ST STE 103Fairbanks, AK 99701-4668
Mailing Address909 Cushman St Ste 103Fairbanks, AK 99701-4668 · (907) 456-4620
Phone(907) 456-4620
Sole ProprietorNo
Enumeration DateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1396582904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedChore ProviderTaxonomy 372500000X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
909 CUSHMAN ST STE 103, Fairbanks, AK 99701
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Other Providers at the Same Location NPPES 4

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

DERRICK BLACKBURN
Day Training/Habilitation Specialist
909 CUSHMAN ST STE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4620
KYNDALL AMPY BLACKBURN
Peer Specialist
909 CUSHMAN ST STE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4610
MRS. KAREN R BLACKBURN
Day Training, Developmentally Disabled Services
909 CUSHMAN ST STE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4620
TAMERA PARKER
Day Training/Habilitation Specialist
909 CUSHMAN ST STE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4620

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 Derika Life's NPI number?

The NPI number for Derika Life is 1396582904. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Where is Derika Life located?

Derika Life practices at 909 Cushman St Ste 103, Fairbanks, AK 99701. The listed phone number is (907) 456-4620.

What is Derika Life'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 Derika Life was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.