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Deactivated NPI 1720292477 Deactivated / Inactive NPI Female Practitioner

Kellie Beth Bodi , LPN

Case Manager/Care Coordinator • Kotzebue, AK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kellie Bodi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 10, 2007
NPI Deactivation Date September 26, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Kellie Bodi, LPN was a registered Case Manager/Care Coordinator practicing in Kotzebue, AK. Throughout an active medical career spanning 10 years, Kellie Bodi provided care at the practice location at 607 WOLVERINE DRIVE until profile deactivation on 2017-09-26.

Practice Location & Contact Primary Location

Practice Address

607 Wolverine Drive

Kotzebue, AK 997521073

Telephone 9074427917
Fax 9074427932
Associated Practice Facility / Clinic
🏢 Maniilaq Association Ksccc Facility NPI 1366573685

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Kotzebue, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
28 Specialists

Practicing in Kotzebue, AK (1814 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Charles Stoner , LPN

Case Manager/Care Coordinator

NPI 1144478041

Licensed Practical Nurse

Tina Thompson , LPN

Case Manager/Care Coordinator

NPI 1619181641

Licensed Practical Nurse

Barbara Collison , RN

Case Manager/Care Coordinator

NPI 1629376017

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 26, 2017

Record deactivated on September 26, 2017

NPI Profile Active December 20, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 20, 2007

Registered at 607 WOLVERINE DRIVE, KOTZEBUE, AK 997521073 (Tel: 9074427917)

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Updated Business Mailing Address December 20, 2007

Registered at PO BOX 1073, KOTZEBUE, AK 997521073 (Tel: 9074427917)

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Provider Name / Credentials Updated December 20, 2007

Recorded as KELLIE BODI, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2007

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration May 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720292477
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2007
Last Update: December 20, 2007
Deactivation Date: September 26, 2017

Mailing Address

Po Box 1073

Kotzebue, AK 997521073

Phone: 9074427917

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.