CHANDRA FAZEKAS (NPI# 1568842581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568842581 |
| Entity Type | Individual |
| Full Name | CHANDRA FAZEKAS |
| Practice Address |
301 E Main St Suite 3 Wilburton OK 74578-4415 |
| Practice Telephone | 9184656462 |
| Mailing Telephone | 9184656462 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
301 E MAIN ST SUITE 3 |
| City | WILBURTON |
| State | OK |
| Zip Code | 74578-4415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720490964 | Talisa Walker | Counselor | 301 E Main St, Suite 3, Wilburton, OK 74578-4415 | 2014-05-22 |
| 1871887703 | Eastern Sky Mental Health, Inc | Counselor | 301 E Main St, Suite 3, Wilburton, OK 74578-4415 | 2011-06-08 |
| 1669790366 | Brian James Caldwell | Counselor | 301 E Main St, Suite 3, Wilburton, OK 74578-4415 | 2010-05-06 |
| 1699917450 | Alice L. Caldwell | Counselor | 301 E Main St, Suite 3, Wilburton, OK 74578-4415 | 2009-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539541 | Keli Jo Spears | Counselor | 10975 Sw Hwy 1, Wilburton, OK 74578 | 2019-07-01 |
| 1932564523 | Jennifer Roberts | Behavioral Analyst | 101 Blassingame Ct, Wilburton, OK 74578 | 2015-12-23 |
| 1285988683 | Cheryl Lin Kennon | Contractor | 320 Medlock St, Wilburton, OK 74578 | 2012-11-07 |
| 1578783684 | Debra Ann Jacobs | Day Training/Habilitation Specialist | 312 Se 5th Street, Wilburton, OK 74578 | 2007-04-30 |
| 1891817664 | Rustling Winds Inc | Counselor | 211 West Main, Wilburton, OK 74578 | 2007-04-04 |
| 1427143429 | Ricardo Mariano Valbuena | Family Medicine | 1107 West Main Street, Wilburton, OK 74578 | 2006-10-04 |
| 1780676320 | Home Care Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 9128 Nw Hwy 2, Wilburton, OK 74578 | 2005-08-19 |
| 1467733535 | Wilburton Public Schools | Local Education Agency (LEA) | 1201 W Blair Ave, Wilburton, OK 74578-2009 | 2011-09-02 |
| 1154617405 | Laurie Lee Franco | Case Management | 508 Nw 4th St, Wilburton, OK 74578-2216 | 2011-06-24 |
| 1386070886 | Tennie I Clark | Case Manager/Care Coordinator | 805 W Durant Ave, Wilburton, OK 74578-2243 | 2013-09-17 |
| Find all providers in zip 74578 | ||||
| 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 |
|---|---|---|---|---|
| 1558960302 | Misty D Tom | Case Manager/Care Coordinator | 10343 Sw 140th Rd, Wilburton, OK 74578-6858 | 2020-10-22 |
| 1710303953 | Tammy Boling | Case Manager/Care Coordinator | 2693 Sw 1090th Ave, Wilburton, OK 74578-6838 | 2014-03-12 |
| 1386070886 | Tennie I Clark | Case Manager/Care Coordinator | 805 W Durant Ave, Wilburton, OK 74578-2243 | 2013-09-17 |
| 1275975344 | Angelia N Evans | Case Manager/Care Coordinator | 3034 Se 150th Rd, Wilburton, OK 74578-7528 | 2013-07-18 |
| 1497026025 | Alicia Caldwell | Case Manager/Care Coordinator | 294 Sw 1060th Ave, Wilburton, OK 74578-6746 | 2012-01-12 |
| 1336529254 | Larry Mabry | Case Manager/Care Coordinator | 301 E Main St Ste 3, Wilburton, OK 74578-4415 | 2015-06-05 |
| 1902239650 | Felecia Marie Clark | Case Manager/Care Coordinator | 301 E Main St Ste 3, Wilburton, OK 74578-4415 | 2013-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437134 | Anisah S Beasley | Case Manager/Care Coordinator | 24797 S Sh-66, Claremore, OK 74019 | 2020-11-06 |
| 1508467994 | Yenth Matilde Chaidez | Case Manager/Care Coordinator | 10409 Casa Linda, Oklahoma City, OK 73139-5510 | 2020-11-03 |
| 1093316655 | Shaylee Renee Freeman | Case Manager/Care Coordinator | 25285 S Hackamore Rd E, Claremore, OK 74019-2558 | 2020-11-02 |
| 1407456114 | Nicole Roberts | Case Manager/Care Coordinator | 2505 E Hartford Ave Apt 10, Ponca City, OK 74604-3009 | 2020-10-30 |
| 1598365553 | Sherman Julian Riddle | Case Manager/Care Coordinator | 100 W Main St # 4, Pawhuska, OK 74056-4149 | 2020-10-29 |
| 1760082523 | Alimot Shadia L Karim | Case Manager/Care Coordinator | 1330 N Classen Blvd Ste 314, Oklahoma City, OK 73106-6834 | 2020-10-29 |
| 1922608942 | Madison Brianne Boyd | Case Manager/Care Coordinator | 801 Park St, Chelsea, OK 74016-1426 | 2020-10-28 |
| 1376143669 | Taylor Austin Finch | Case Manager/Care Coordinator | 3500 S Peoria Ave, Tulsa, OK 74105-2529 | 2020-10-27 |
| 1336749852 | Reshanna Leshae Childs-russell | Case Manager/Care Coordinator | 10505 Windway Ave, Oklahoma City, OK 73162-8001 | 2020-10-26 |
| 1679172381 | Leah Rebecca Linton | Case Manager/Care Coordinator | 518 W Park St, Tecumseh, OK 74873-3027 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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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.