NATHAN FANTON (NPI# 1376186353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376186353 |
| Entity Type | Individual |
| Full Name | NATHAN FANTON |
| Credential | BA |
| Practice Address |
2613 W Henrietta Rd Rochester NY 14623-2327 |
| Practice Telephone | 5852760534 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |
| Gender Code | M |
| 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 |
2613 W HENRIETTA RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770552341 | Diane S. Morse | Internal Medicine | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2006-03-16 |
| 1629676580 | David Bradley Graves | Nurse Practitioner | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2020-10-13 |
| 1669008553 | Anna Elisabet Close | Counselor | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2020-03-23 |
| 1649822123 | Stephanie Michelle Carletta | Nurse Practitioner | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2019-07-15 |
| 1326600560 | Jillian Elizabeth Poepsel | Nurse Practitioner | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2019-07-08 |
| 1376021139 | Holly Ann Woodard | Nurse Practitioner | 2613 W Henrietta Rd, Rochester, NY 14623 | 2018-08-03 |
| 1205321189 | Raquel Martinez-calleri | Social Worker | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2018-06-24 |
| 1508302258 | Elizabeth Doll | Social Worker | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2017-01-18 |
| 1396197190 | Alex Clarke | Social Worker | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2016-07-06 |
| 1306242946 | Catherine Mazzotta | Social Worker | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2014-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| 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 |
|---|---|---|---|---|
| 1871124750 | Lilibeth Elisa Lopez | Case Manager/Care Coordinator | 214 Clifford Ave, Rochester, NY 14621-5304 | 2020-01-30 |
| 1487294666 | Bercia Saltibus | Case Manager/Care Coordinator | 832 W. Main St, Rochester, NY 14613 | 2020-01-15 |
| 1023656535 | Efrain Jose Rivera | Case Manager/Care Coordinator | 160 Northaven Ter, Rochester, NY 14621-5518 | 2019-12-16 |
| 1265090716 | Mary Phyllis Mcelligott | Case Manager/Care Coordinator | 175 N Clinton Ave, Rochester, NY 14604-1109 | 2019-05-30 |
| 1164989471 | Jennifer J De Jesus | Case Manager/Care Coordinator | 111 Westfall Rd Rm 938, Rochester, NY 14620-4647 | 2019-02-22 |
| 1770066474 | Frederick Ghent | Case Manager/Care Coordinator | 1860 Buffalo Rd, Rochester, NY 14624-1551 | 2018-09-10 |
| 1538660923 | Sarah Ann Zawistowski | Case Manager/Care Coordinator | 111 Westfall Rd Fl 9, Rochester, NY 14620-4647 | 2018-02-22 |
| 1770091852 | Brittany Richards | Case Manager/Care Coordinator | 1860 Buffalo Road, Rochester, NY 14624 | 2018-01-11 |
| 1316391295 | Henry Papierski IIi | Case Manager/Care Coordinator | 61 Penhurst Rd, Rochester, NY 14610-2746 | 2016-04-18 |
| 1699191445 | Sarah Hepler | Case Manager/Care Coordinator | 16 Merwin Ave, Rochester, NY 14609-6713 | 2014-03-17 |
| Find all providers in ROCHESTER | ||||
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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.