MS. CHERYL LYNN FREDRICK (NPI# 1639553902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639553902 |
| Entity Type | Individual |
| Full Name | MS. CHERYL LYNN FREDRICK |
| Credential | LPN |
| Practice Address |
925 Highway V V Kennett MO 63857 |
| Mailing Address |
1201 Ely St Kennett MO 63857-1336 |
| Practice Telephone | 5737177059 |
| Mailing Telephone | 5737177059 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | 2006025554 | MO | Other Service Providers |
| Street Address |
925 HIGHWAY V V |
| City | KENNETT |
| State | MO |
| Zip Code | 63857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316983463 | Eric Snipes | Counselor | 925 Highway V V, Kennett, MO 63857 | 2006-06-20 |
| 1497371975 | Kasey Marie Holifield | Peer Specialist | 925 Highway V V, Kennett, MO 63857-0071 | 2020-06-22 |
| 1548890577 | Autumn Flowers | Behavior Technician | 925 Highway V V, Kennett, MO 63857 | 2020-01-17 |
| 1730726019 | Brittany Elisabeth Axelson | Driver | 925 Highway V V, Kennett, MO 63857-0071 | 2019-12-05 |
| 1851957856 | Joleen Brege | Behavior Technician | 925 Highway V V, Kennett, MO 63857-0071 | 2019-05-15 |
| 1659836930 | David Eichler | Counselor | 925 Highway V V, Kennett, MO 63857-0071 | 2019-01-31 |
| 1720551377 | Heather Overton | Behavior Technician | 925 Highway V V, Kennett, MO 63857 | 2019-01-07 |
| 1780151795 | Angela Peters | Behavior Technician | 925 Highway V V, Kennett, MO 63857-0071 | 2018-10-29 |
| 1811471592 | Lessie Ellen Long | Peer Specialist | 925 Highway V V, Kennett, MO 63857-3866 | 2018-09-19 |
| 1609355213 | Amanda Vazquez | Case Manager/Care Coordinator | 925 Highway V V, Kennett, MO 63857 | 2018-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| Find all providers in zip 63857 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1518425891 | Kurt W Williamson | Community Health Worker | 1201 Ely St, Kennett, MO 63857-1336 | 2019-03-06 |
| 1801353891 | Milliesha Lee | Community Health Worker | 935 State Route Vv, Kennett, MO 63857-3822 | 2019-02-26 |
| 1912419946 | Anthony B Smith | Community Health Worker | 1201 Ely St, Kennett, MO 63857-1336 | 2017-10-31 |
| 1033646401 | Jessica Jamerson | Community Health Worker | 935 Highway Vv, Kennett, MO 63857 | 2017-05-17 |
| 1396276580 | Ashley Lutton | Community Health Worker | 925 Highway Vv, Kennett, MO 63857-0071 | 2017-03-21 |
| 1033665807 | Kimberly Lynette Burns | Community Health Worker | 925 Highway Vv, Kennett, MO 63857 | 2016-08-31 |
| 1164878138 | Tamarra Lynn-richmond | Community Health Worker | 925 State Hwy Vv, Kennett, MO 63857 | 2016-05-10 |
| 1871951053 | Elisa Johnson | Community Health Worker | 925 Highway Vv, Kennett, MO 63857-0071 | 2016-02-03 |
| 1629468020 | Lori Odell | Community Health Worker | 925 State Hwy Vv, Kennett, MO 63857 | 2015-01-23 |
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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.