AUTUMN FRAZIER (NPI# 1295179414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295179414 |
| Entity Type | Individual |
| Full Name | AUTUMN FRAZIER |
| Credential | MHPP |
| Practice Address |
1200 W Walnut St Rogers AR 72756-3521 |
| Mailing Address |
2153 E Joyce Blvd Fayetteville AR 72703-4714 |
| Practice Telephone | 4796360083 |
| Mailing Telephone | 4795759471 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |
| 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 |
1200 W WALNUT ST |
| City | ROGERS |
| State | AR |
| Zip Code | 72756-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205895687 | Gerald F Tuohy | Anesthesiology | 1200 W Walnut St, Rogers, AR 72756-3546 | 2006-03-22 |
| 1467942441 | Renee Cook | Case Manager/Care Coordinator | 1200 W Walnut St, Rogers, AR 72756-3521 | 2018-05-15 |
| 1649792995 | Brandy Huddleston | Counselor | 1200 W Walnut St, Rogers, AR 72756-3521 | 2017-07-07 |
| 1033630645 | Abbey Johnson | Counselor | 1200 W Walnut St, Rogers, AR 72756-3521 | 2017-07-05 |
| 1437697729 | Stephanie M Clark | Counselor | 1200 W Walnut St, Suite 1400, Rogers, AR 72756-3521 | 2017-02-07 |
| 1770031379 | Addison E Shemin | Counselor | 1200 W Walnut St, Suite 1400, Rogers, AR 72756-3521 | 2016-09-13 |
| 1629523006 | Darion J Releford | Counselor | 1200 W Walnut St, Suite 1400, Rogers, AR 72756-3521 | 2016-08-16 |
| 1609321009 | Kelsey Brodie | Counselor | 1200 W Walnut St, Rogers, AR 72756-3521 | 2016-08-16 |
| 1487007860 | Jennifer Canter | Counselor | 1200 W Walnut St, Suite 1400, Rogers, AR 72756-3521 | 2016-07-20 |
| 1073965505 | Stephanie Partida | Counselor | 1200 W Walnut St, Rogers, AR 72756-3521 | 2016-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| 1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
| 1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
| 1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
| 1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
| 1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
| Find all providers in zip 72756 | ||||
| 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 |
|---|---|---|---|---|
| 1013568146 | Brooke Crawford | Case Manager/Care Coordinator | 2005 W Elm St, Rogers, AR 72758-4018 | 2019-09-20 |
| 1821554882 | Sonja Mccuen | Case Manager/Care Coordinator | 2005 W Elm St, Rogers, AR 72758-4018 | 2019-02-14 |
| 1467942441 | Renee Cook | Case Manager/Care Coordinator | 1200 W Walnut St, Rogers, AR 72756-3521 | 2018-05-15 |
| 1245743665 | Jessica Jo Wright | Case Manager/Care Coordinator | 1200 W Walnut St Ste 1500, Rogers, AR 72756-3532 | 2017-11-07 |
| 1841669322 | Krystyna Byrd | Case Manager/Care Coordinator | 1200 W Walnut St, Suite 1500, Rogers, AR 72756-3521 | 2015-09-15 |
| 1376969352 | Jessica Boylls | Case Manager/Care Coordinator | 1106 Poplar Pl., Rogers, AR 72756-4249 | 2014-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256014 | Jessica Marie Hazelip | Case Manager/Care Coordinator | 2126 N 1st St, Jacksonville, AR 72076-2870 | 2020-08-24 |
| 1619587383 | First Choice Care Management Consulting LLC | Case Manager/Care Coordinator | 155 Leatherwood Loop, Hot Springs, AR 71901-9580 | 2020-08-06 |
| 1649889775 | Haley Kathryn Mehan | Case Manager/Care Coordinator | 109 2nd Ave Sw Apt A, Gravette, AR 72736-6009 | 2020-07-24 |
| 1114535838 | Amber Michelle Cansler | Case Manager/Care Coordinator | 637 Ar-8, Amity, AR 71921 | 2020-07-20 |
| 1649807595 | Vickie Carter | Case Manager/Care Coordinator | 1704 Highway 49 West, Trumann, AR 72472-2029 | 2020-03-23 |
| 1619501087 | 1 Source Senior Care | Case Manager/Care Coordinator | 1820 Shelby Ln, Fayetteville, AR 72704-5255 | 2020-02-25 |
| 1194356964 | Yanira Harper | Case Manager/Care Coordinator | 204 Martha Ln Apt B, Gurdon, AR 71743-2210 | 2020-01-30 |
| 1326679473 | Megan Thomas | Case Manager/Care Coordinator | 3715 N Business Dr Ste 201, Fayetteville, AR 72703-5288 | 2020-01-28 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1619516051 | Kyjione King | Case Manager/Care Coordinator | 721 S Gee St Ste A, Jonesboro, AR 72401-3308 | 2020-01-02 |
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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.