KACEY FETTERS (NPI# 1578965851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578965851 |
| Entity Type | Individual |
| Full Name | KACEY FETTERS |
| Practice Address |
520 E Augusta Ave Augusta KS 67010-2100 |
| Practice Telephone | 3163220253 |
| Mailing Telephone | 3163220253 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| 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 |
520 E AUGUSTA AVE |
| City | AUGUSTA |
| State | KS |
| Zip Code | 67010-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891753208 | Debra Ann Hurley | Psychologist | 520 E Augusta Ave, Augusta, KS 67010-2100 | 2006-05-03 |
| 1508319492 | Chelsea Jean | Counselor | 520 E Augusta Ave, Augusta, KS 67010-2100 | 2016-07-27 |
| 1861878001 | Kirsten Engel | Psychologist | 520 E Augusta Ave, Augusta, KS 67010-2100 | 2015-08-10 |
| 1851777395 | Lindsey Gordon | Psychologist | 520 E Augusta Ave, Augusta, KS 67010-2100 | 2015-08-06 |
| 1427446830 | Jennifer Lynn Miller I | Case Manager/Care Coordinator | 520 E Augusta Ave, Augusta, KS 67010-2100 | 2015-01-07 |
| 1336542752 | Justin Charland | Case Manager/Care Coordinator | 520 E Augusta Ave, Augusta, KS 67010-2100 | 2014-09-30 |
| 1518360031 | Isiah Lykes | Case Manager/Care Coordinator | 520 E Augusta Ave, Augusta, KS 67010-2433 | 2014-09-29 |
| 1093117624 | Ammie Sheree Mboule | Case Manager/Care Coordinator | 520 E Augusta Ave, Augusta, KS 67010-2100 | 2014-09-26 |
| 1629470398 | Ulysess Norman | Case Manager/Care Coordinator | 520 E Augusta Ave, Augusta, KS 67010-2100 | 2014-09-24 |
| 1265834030 | Emily Webb | Case Manager/Care Coordinator | 520 E Augusta Ave, Augusta, KS 67010-2100 | 2014-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407372444 | Kali Lauren Taylor | Pharmacist | 509 State Street, Augusta, KS 67010 | 2017-08-22 |
| 1952703068 | Connie Patten | Case Manager/Care Coordinator | 2821 Brookside Dr., Augusta, KS 67010 | 2014-09-19 |
| 1427461011 | Abby Bryan | Contractor | 6 Flanigan, Augusta, KS 67010 | 2014-06-11 |
| 1811252919 | Vicky T Kramer | Nurse Practitioner | 15707 Sw Us Hwy 77, Augusta, KS 67010 | 2012-07-05 |
| 1982816732 | Grene Vision Group LLC | Ophthalmology | 706 E Smiles, Augusta, KS 67010 | 2007-05-04 |
| 1205935384 | Patrick J Carman | Chiropractor | 517 State St, Augusta, KS 67010 | 2006-09-22 |
| 1114968047 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1510 Ohio St, Augusta, KS 67010 | 2006-06-10 |
| 1154806552 | Hilary Alexandra Clark | Psychologist | 2821 Brookside Dr., Augusta, KS 67010 | 2018-10-01 |
| 1366845885 | Karly Klarisse Ross | Case Manager/Care Coordinator | 2821 Brookside Ct, Augusta, KS 67010 | 2014-09-29 |
| 1013319649 | Carla Morrow | Counselor | 2821 Brookside Ct, Augusta, KS 67010 | 2014-09-26 |
| Find all providers in zip 67010 | ||||
| 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 |
|---|---|---|---|---|
| 1720624844 | Marie Bullock | Case Manager/Care Coordinator | 128 Sims Ct, Augusta, GA 30909-9014 | 2019-11-24 |
| 1063876407 | Maxlife Therapeutic Solutions Inc | Case Manager/Care Coordinator | 204b Pitcarin Way, Suite #1, Augusta, GA 30909-5766 | 2016-04-12 |
| 1952703068 | Connie Patten | Case Manager/Care Coordinator | 2821 Brookside Dr., Augusta, KS 67010 | 2014-09-19 |
| 1841607199 | Eleanor Willingham | Case Manager/Care Coordinator | 2225 Woodbluff Way, Augusta, GA 30909-2093 | 2014-07-18 |
| 1982018370 | Stacy L Willis | Case Manager/Care Coordinator | 1007 Caddenwoods Dr, Augusta, GA 30906-5618 | 2014-06-13 |
| 1568885119 | Larictor Tomlin | Case Manager/Care Coordinator | 1871 Heathers Way, Augusta, GA 30906-8110 | 2014-01-31 |
| 1275809576 | Jeanette Diane Wiggleton | Case Manager/Care Coordinator | 3216 Peninsula Dr, Augusta, GA 30909-0603 | 2012-03-30 |
| 1942588587 | Agape Living LLC | Case Manager/Care Coordinator | 1840 Phinizy Rd, Augusta, GA 30906-5144 | 2011-08-01 |
| 1285922823 | Cathy Kelsey | Case Manager/Care Coordinator | 704 Hall St, Augusta, GA 30901-3010 | 2011-07-18 |
| 1841400082 | Shlonda Brown Smith | Case Manager/Care Coordinator | 1928 Kissingbower Rd, Augusta, GA 30904-5158 | 2007-05-23 |
| Find all providers in AUGUSTA | ||||
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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.