MS. STACY D,ANN FOUNTAIN (NPI# 1023312972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023312972 |
| Entity Type | Individual |
| Full Name | MS. STACY D,ANN FOUNTAIN |
| Practice Address |
100e. Main St. Medford OR 97504 |
| Mailing Address |
100 E Main St Medford OR 97501-6041 |
| Practice Telephone | 5412927177 |
| Mailing Telephone | 5412927177 |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
100E. MAIN ST. |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| 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. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629436746 | Martina Waggener | Case Manager/Care Coordinator | 1107 Stevens St, Medford, OR 97504-6867 | 2016-02-03 |
| 1861866493 | Whitney Shipman | Case Manager/Care Coordinator | 1140 W 8th St, Medford, OR 97501-2912 | 2015-11-19 |
| 1730576109 | Samara Garnett | Case Manager/Care Coordinator | 106 Cottage St, Medford, OR 97504-7334 | 2015-04-23 |
| 1134499163 | Hannah Joy Morgan | Case Manager/Care Coordinator | 700 Crater Lake Ave, #12, Medford, OR 97504-6514 | 2012-01-06 |
| 1376812990 | Kristina Roper | Case Manager/Care Coordinator | 721 Nita Lynne, Medford, OR 97501-6635 | 2011-12-28 |
| 1881963601 | Jody Luney | Case Manager/Care Coordinator | 1911 Hazel Street, Medford, OR 97501 | 2011-12-22 |
| 1962707562 | Shirley Ann Palos | Case Manager/Care Coordinator | 1911 Hazel St, Medford, OR 97501 | 2011-01-13 |
| 1023312543 | Yvonne Melinda Shafer | Case Manager/Care Coordinator | 1005 E Main St Bldg C, Medford, OR 97504-7448 | 2010-12-23 |
| 1043810377 | Allison Rose Gida | Case Manager/Care Coordinator | 609 W 10th St, Medford, OR 97501-3106 | 2020-10-27 |
| 1023628187 | Maureen Chambers Honeycutt | Case Manager/Care Coordinator | 201 W Main St Ste 4b, Medford, OR 97501-2734 | 2020-08-04 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.