MRS. ANDREA NICOLE FACKLER (NPI# 1376721852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376721852 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA NICOLE FACKLER |
| Practice Address |
108 New Glendale Rd Lincoln Trail District Health Dept Elizabethtown KY 42702-2609 |
| Mailing Address |
Po Box 2609 Elizabethtown KS 42702-2609 |
| Practice Telephone | 2707691601 |
| Practice Fax Number | 2707657274 |
| Mailing Telephone | 2707691601 |
| Mailing Fax Number | 2707657274 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221115 | Andrea Fackler | Counselor | 4425 S. Mopac Expressway, Building 3, Suite 503, Austin, TX 78735 | 2020-07-03 |
| Street Address |
108 NEW GLENDALE RD LINCOLN TRAIL DISTRICT HEALTH DEPT |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42702-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255309886 | Barbara Kovalchik | Registered Nurse | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2006-03-09 |
| 1235794983 | Samantha Jo Lyman | Case Manager/Care Coordinator | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2019-05-08 |
| 1861957136 | Rebecca Aldridge | Case Manager/Care Coordinator | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2019-01-31 |
| 1316476781 | Kristen Mccann Greenwell | Case Manager/Care Coordinator | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2017-06-08 |
| 1629525779 | Denise Michele Grant | Dental Hygienist | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2016-09-07 |
| 1639624893 | Glenda Bastin | Registered Nurse | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2016-08-17 |
| 1952771263 | Nicole Marie Berry | Dental Hygienist | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2015-09-29 |
| 1689072373 | Gwendolyn Yvette Kloeppel | Dental Hygienist | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2014-12-11 |
| 1306244199 | Angela Marie Corbett | Dental Hygienist | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2014-12-11 |
| 1669870457 | Leigh Ann Ulrich | Dental Hygienist | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2014-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093789166 | Lincoln Trail District Health Department | Nursing Care | 108 New Glendale Road, Elizabethtown, KY 42702-2609 | 2006-02-15 |
| 1811410780 | Jordan Elizabeth Hampton | Case Manager/Care Coordinator | 108 New Glendale Road, Po Box 2609, Elizabethtown, KY 42702-2609 | 2017-07-21 |
| 1194244673 | Kimberly Lynn Lucas | Counselor | Communicare 107 Cranes Roost Ct, Elizabethtown, KY 42702-3650 | 2017-09-15 |
| 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 |
|---|---|---|---|---|
| 1265052823 | Mary Elizabeth Durgan | Case Manager/Care Coordinator | Essex County Health Department, Childrens Service Unit 132 Water Street, Elizabethtown, NY 12932 | 2020-04-23 |
| 1437624814 | Renest Recovery Support Services | Case Manager/Care Coordinator | 226 Adams Rd Apt A, Elizabethtown, KY 42701-1061 | 2018-10-11 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1699144006 | Sunday Sue Clauson | Case Manager/Care Coordinator | 2022 Oak Meadow Dr, Elizabethtown, KY 42701-5501 | 2015-09-16 |
| 1912375130 | Olive Branch Integrated Care Services | Case Manager/Care Coordinator | 200 W Broad St, Elizabethtown, NC 28337-9303 | 2015-09-03 |
| 1629479878 | Roberta Payne | Case Manager/Care Coordinator | 2935 Dolphin Dr Bldg 21, Elizabethtown, KY 42701-4111 | 2014-09-08 |
| 1386066793 | Lucy J Dunford | Case Manager/Care Coordinator | 219 Poplar Trce, Elizabethtown, KY 42701-8087 | 2014-01-21 |
| 1902194137 | Christina Lynn Abel | Case Manager/Care Coordinator | 3786 S Dixie Hwy, Elizabethtown, KY 42701-8339 | 2011-07-21 |
| 1851545552 | Susan Smith Sneed | Case Manager/Care Coordinator | 1014 Navaho Dr, Elizabethtown, KY 42701-2023 | 2008-11-07 |
| 1649463100 | Nancy Claycomb Hazle | Case Manager/Care Coordinator | 805 Dogwood Pl, Elizabethtown, KY 42701-2189 | 2007-08-19 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42702 |
Please comment or provide details below to improve the information on MRS. ANDREA NICOLE FACKLER.
| 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.