TRACIE HIRZ (NPI# 1649659483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649659483 |
| Entity Type | Individual |
| Full Name | TRACIE HIRZ |
| Practice Address |
3656 Packsaddle Road Kingman AZ 86401 |
| Mailing Address |
8603 E. Eastridge Drive Suite A Prescott Valley AZ 86314 |
| Practice Telephone | 9286923795 |
| Mailing Telephone | 9287773280 |
| Mailing Fax Number | 9287171660 |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 467011 | AZ | Other Service Providers |
| Street Address |
3656 PACKSADDLE ROAD |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| 1225334840 | Sharmila Parvathaneni | Internal Medicine | 2901 N Stockton Hill Rd Ste B, Kingman, AZ 86401 | 2011-01-28 |
| Find all providers in zip 86401 | ||||
| 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 |
|---|---|---|---|---|
| 1851937296 | Jill Diane Smith-perez | Case Manager/Care Coordinator | 3910 Lindsey Ave, Kingman, AZ 86409-0959 | 2019-11-20 |
| 1558861724 | Taryn Strong | Case Manager/Care Coordinator | 3966 N Diamond Dr, Kingman, AZ 86409-3346 | 2018-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477637 | David Leland Bushong | Case Manager/Care Coordinator | 5560 N Pawnee Dr, Prescott Valley, AZ 86314-4455 | 2020-11-05 |
| 1790385094 | Shannon Elizabeth Packard | Case Manager/Care Coordinator | 3704 E Sparrow Ln, Camp Verde, AZ 86322-6142 | 2020-10-27 |
| 1881292068 | Jacquelyn Awosika | Case Manager/Care Coordinator | 20148 N Donithan Way, Maricopa, AZ 85138-2428 | 2020-10-11 |
| 1508463498 | Hands N Hearts Home Care LLC | Case Manager/Care Coordinator | 4407 S Agave Ave, Yuma, AZ 85365-6395 | 2020-10-05 |
| 1790390912 | Levon J Howard | Case Manager/Care Coordinator | 5325 N 61st Ave, Glendale, AZ 85301-6613 | 2020-09-14 |
| 1902411184 | Troy Friedman | Case Manager/Care Coordinator | 19609 S Mcqueen Rd, Chandler, AZ 85286-1903 | 2020-09-14 |
| 1104439538 | April J Winston | Case Manager/Care Coordinator | 2375 E Camelback Rd Ste 600628, Phoenix, AZ 85016-3424 | 2020-08-25 |
| 1629603469 | Glenda Dillard | Case Manager/Care Coordinator | 7405 S 39th Dr, Phoenix, AZ 85041-6002 | 2020-03-11 |
| 1013565548 | Synovation Integrated Partners, LLC | Case Manager/Care Coordinator | 6328 E Brown Rd Ste 107, Mesa, AZ 85205-4841 | 2019-08-28 |
| 1013569763 | Paul Lowman Jr. | Case Manager/Care Coordinator | .25 Miles South of Kaibeto Market, Kaibeto, AZ 86053 | 2019-07-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRACIE HIRZ.
| 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.