IndividualActive
Glen Fazakerley, CDCI
NPI 1306142781 · Case Manager/Care Coordinator · Ketchikan, AK
Glen Fazakerley, CDCI is a Case Manager/Care Coordinator provider in Ketchikan, AK (NPI 1306142781).
Provider details
- NPI number
- 1306142781
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Credential
- CDCI
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
201 Deermount St
Ketchikan, AK 99901-6649
Phone: (907) 225-7825
Fax: (907) 225-1541
Street-level locationGet directions
Mailing address
201 Deermount St
Ketchikan, AK 99901-6649
Registry dates
- Enumerated
- 2011-02-02
- Last updated
- 2011-07-12
Frequently asked questions
- What is Glen Fazakerley's NPI number?
- Glen Fazakerley's National Provider Identifier (NPI) is 1306142781, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glen Fazakerley's specialty?
- Glen Fazakerley is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Glen Fazakerley located?
- Glen Fazakerley's practice location on file with NPPES is 201 Deermount St, Ketchikan, AK 99901-6649.
- What is Glen Fazakerley's phone number?
- The practice phone number listed in the NPPES registry for Glen Fazakerley is (907) 225-7825.
- Is Glen Fazakerley's NPI active?
- Yes — Glen Fazakerley's NPI (1306142781) is active in the NPPES registry as of the last update on 2011-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.