KENORIA IZHANE FLETCHER (NPI# 1386269942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386269942 |
| Entity Type | Individual |
| Full Name | KENORIA IZHANE FLETCHER |
| Practice Address |
2711 N Copper Mountain Dr Stillwater OK 74075-4809 |
| Practice Telephone | 4055144052 |
| Mailing Telephone | 4055144052 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| 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 |
2711 N COPPER MOUNTAIN DR |
| City | STILLWATER |
| State | OK |
| Zip Code | 74075-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205495421 | Caitlyn A Lewis | Peer Specialist | 1624 Cimaron Plaza, Stillwater, OK 74075 | 2019-06-11 |
| 1861915316 | Chelsea Keel | Counselor | 3800 N Washington St, Stillwater, OK 74075 | 2017-07-17 |
| 1740475375 | Paula Dawn Evans | Marriage & Family Therapist | 110 E Lakeview Drive, Stillwater, OK 74075 | 2007-09-06 |
| 1194942102 | Trey Ratzlaff | Physical Therapy Assistant | 1810 N Perkins Road, Stillwater, OK 74075 | 2007-04-19 |
| 1629197678 | Melissa Sue Cox | Dietitian, Registered | 4700 West Mcelroy, Stillwater, OK 74075 | 2007-03-29 |
| 1033210851 | Robert Anton Crotty | Podiatrist | 120 N Perkins Rd, Ste A, Stillwater, OK 74075 | 2006-09-26 |
| 1235242074 | Ross Hospice of Ponca City, LLC | Hospice Care, Community Based | 1020 N Boomer Rd Ste 1, Stillwater, OK 74075 | 2006-08-16 |
| 1033156559 | Hac Inc | Pharmacy | 421 N. Main, Stillwater, OK 74075 | 2006-06-01 |
| 1912404583 | Hunter Elizabeth Schlosser | Case Manager/Care Coordinator | 421 E Thomas Ave, Stillwater, OK 74075 | 2018-04-10 |
| 1295246213 | Melissa Kay Wilson-watts | Case Manager/Care Coordinator | 421 E Thomas Ave, Stillwater, OK 74075 | 2017-10-17 |
| Find all providers in zip 74075 | ||||
| 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 |
|---|---|---|---|---|
| 1306444823 | Kristal Rose Spitler | Case Manager/Care Coordinator | 3524 S Husband St, Stillwater, OK 74074-7538 | 2020-10-16 |
| 1649877002 | Ania Leanne Davis | Case Manager/Care Coordinator | 1505 W 15th Ave Unit 1, Stillwater, OK 74074-5252 | 2020-10-07 |
| 1891302865 | Ann Lorraine Brzozowske | Case Manager/Care Coordinator | 11109 W 56th Ave, Stillwater, OK 74074-2147 | 2020-09-24 |
| 1467066514 | Tonya Rene Tyner | Case Manager/Care Coordinator | 1406 S Duncan St, Stillwater, OK 74074-5820 | 2020-09-05 |
| 1104436864 | Savanah R Brown | Case Manager/Care Coordinator | 824 N. Washington St, Stillwater, OK 74075-7407 | 2020-08-06 |
| 1285251546 | Chelsea Keig | Case Manager/Care Coordinator | 815 E Will Rogers Dr, Stillwater, OK 74075-5736 | 2020-07-02 |
| 1063034106 | Hailey Hardesty | Case Manager/Care Coordinator | 110 S Berry St, Stillwater, OK 74074-3835 | 2020-05-12 |
| 1528603032 | Joel Russell Wingo | Case Manager/Care Coordinator | Grand Lake Mental Health Center Inc., 604 S. Walnut St., Stillwater, OK 74074-4222 | 2019-11-08 |
| 1992263537 | Clayton Scott Camp | Case Manager/Care Coordinator | 5512 W 7th Ave, Stillwater, OK 74074-1124 | 2019-03-02 |
| 1841766474 | Kimber Alexis Treadwell | Case Manager/Care Coordinator | 1904 Eastern Ave, Stillwater, OK 74074-6232 | 2018-10-22 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74075 |
Please comment or provide details below to improve the information on KENORIA IZHANE FLETCHER.
| 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.