TYSHAWNA FRAZER-NEW (NPI# 1063994218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063994218 |
| Entity Type | Individual |
| Full Name | TYSHAWNA FRAZER-NEW |
| Practice Address |
2320 Laguna Ct Unit 206 Fairborn OH 45324-1139 |
| Practice Telephone | 9375328624 |
| Mailing Telephone | 9375328624 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
2320 LAGUNA CT UNIT 206 |
| City | FAIRBORN |
| State | OH |
| Zip Code | 45324-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647591 | Michael Hubbell | Student in an Organized Health Care Education/Training Program | 2555 University Blvd., Fairborn, OH 45324 | 2020-04-06 |
| 1982243382 | Wickshire Fairborn Opco LLC | Assisted Living Facility | 2270 Park Hills Drive, Fairborn, OH 45324 | 2020-01-02 |
| 1104301654 | Sophia Alridge | Counselor | 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 | 2018-10-01 |
| 1750863189 | Sydney Bowser | Behavior Technician | 1750 Commerce Center Blvd., Fairborn, OH 45324 | 2018-09-01 |
| 1710406798 | Chester Cashmir Torkornoo | Dentist | 3989 Colonel Glenn Hwy A, Fairborn, OH 45324 | 2017-09-11 |
| 1245772375 | Ranada LLC | Health Maintenance Organization | 17 Vanderbilt Drive Apt G, Fairborn, OH 45324 | 2016-11-07 |
| 1194277582 | Derrick Bark | Specialist/Technologist | 85 Old Yellow Springs Rd, Fairborn, OH 45324 | 2016-11-01 |
| 1326592635 | Sheena Elizabeth Geoghegan | Student in an Organized Health Care Education/Training Program | 725 Univerisity Blvd., Wright State Physicians, Fairborn, OH 45324 | 2016-08-04 |
| 1912360199 | Tarah Heath | Occupational Therapist | 2498 Dayton, Beavercreek, OH 45324 | 2016-04-04 |
| 1255706339 | Cierra Jackson | Counselor | 1560 Calder Ct, Fairborn, OH 45324 | 2015-12-01 |
| Find all providers in zip 45324 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466287 | Meshalle Johnston | Counselor | 13006 Maplerow Ave, Garfield Heights, OH 44105-6922 | 2020-08-05 |
| 1629696554 | Steven E Bell II | Counselor | 4933 Turney Rd, Garfield Heights, OH 44125-2526 | 2020-07-07 |
| 1003432303 | Lisa Marie Sanders | Counselor | 7350 Montgomery Rd Ste 516, Cincinnati, OH 45236-7500 | 2020-06-23 |
| 1447715800 | Hopeanne Wohlers | Counselor | 2357 Tremont Ave, Cleveland, OH 44113-4633 | 2019-02-09 |
| 1205321759 | Brianne Leigh Avsec | Counselor | 2801 C Ct Unit 2, Ashtabula, OH 44004-4578 | 2018-06-27 |
| 1316461056 | Jordin Bernice Johnson | Counselor | 1855 East Dublin Granville Rd, Columbus, OH 43229 | 2017-08-02 |
| 1497296016 | Robyn Jones | Counselor | 10808 Mountview Ave, Garfield Hts, OH 44125-3135 | 2017-03-15 |
| 1447798186 | Josh Comm | Counselor | 1827 Allen Dr, Salem, OH 44460-4103 | 2017-02-02 |
| 1861935926 | Christopher Salzer | Counselor | 1234 Gladys Ave, Lakewood, OH 44107-2510 | 2016-11-22 |
| 1225589609 | Nathan Harper | Counselor | 929 Center St., Wellsville, OH 43968 | 2016-10-20 |
| 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.