MRS. TIFFANY N. FRALEY (NPI# 1699098285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699098285 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY N. FRALEY |
| Other Name | TIFFANY N. WILBURN |
| Practice Address |
57407 Twentynine Palms Highway Suite F Yucca Valley CA 92284 |
| Practice Telephone | 7603661541 |
| Practice Fax Number | 7602281614 |
| Mailing Telephone | 7603661541 |
| Mailing Fax Number | 7602281614 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2016-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891859153 | Tiffany Fraley | Physical Therapist | 6900 Country Club Dr, Huntington, WV 25705-2000 | 2006-12-21 |
| Street Address |
57407 TWENTYNINE PALMS HIGHWAY SUITE F |
| City | YUCCA VALLEY |
| State | CA |
| Zip Code | 92284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992894984 | Richard Brian Gray | Marriage & Family Therapist | 57407 Twentynine Palms Highway, Suite F, Yucca Valley, CA 92284-3117 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821646746 | Dawn Irene Blue | Registered Nurse | 55887 Yucca Valley Trail, Yucca Valley, CA 92284 | 2019-09-04 |
| 1659838415 | Lifeline Marketing Group, LLC Kenneth M Folwell Sole Mbr | Genetic Counselor, MS | 57675 Twentynine Palms Hwy, Suite 102, Yucca Valley, CA 92284 | 2019-02-27 |
| 1790240026 | Rosenda Marie Quintero | Case Manager/Care Coordinator | 7281 Dumosa Avneue, Ste 4, Yucca Valley, CA 92284 | 2019-01-31 |
| 1740790617 | Robert Farrer | Pharmacist | 57701 Twentynine Palms Highway, Yucca Valley, CA 92284 | 2017-10-05 |
| 1881128981 | Louis James Medina | Case Manager/Care Coordinator | 58471 Twentynine Palms Hwy #102, Yucca Valley, CA 92284 | 2017-04-14 |
| 1003369620 | Hi -desert Memorial Health Care District | Clinic/Center | 57019 Yucca Trail Ste C, Yucca Valley, CA 92284 | 2016-08-01 |
| 1346639002 | Virginia Susan Mccann | Marriage & Family Therapist | 58945 Business Cernter Drive, Suite D, Yucca Valley, CA 92284 | 2015-01-20 |
| 1578964375 | Desert Oasis Healthcare | Clinic/Center | 57-840 29 Palms Hwy, Yucca Valley, CA 92284 | 2014-09-11 |
| 1306245113 | Katie Z Topper | Nurse Practitioner | 57402 Twentynine Palm Highway, Ste 1, Yucca Valley, CA 92284 | 2014-08-18 |
| 1215347307 | Sandip Patel | Pharmacist | 57701 Twentynine Palms Hwy, Yucca Valley, CA 92284 | 2014-04-29 |
| Find all providers in zip 92284 | ||||
| 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 |
|---|---|---|---|---|
| 1790240026 | Rosenda Marie Quintero | Case Manager/Care Coordinator | 7281 Dumosa Avneue, Ste 4, Yucca Valley, CA 92284 | 2019-01-31 |
| 1881128981 | Louis James Medina | Case Manager/Care Coordinator | 58471 Twentynine Palms Hwy #102, Yucca Valley, CA 92284 | 2017-04-14 |
| 1215484472 | Tonya Linde | Case Manager/Care Coordinator | 58945 Business Center Dr Ste N, Yucca Valley, CA 92284-7310 | 2016-09-06 |
| 1275983249 | Cynthia A Schopen | Case Manager/Care Coordinator | 58330 Navajo Trl, Yucca Valley, CA 92284-8513 | 2016-06-20 |
| 1366844672 | Candice Himelda Valencia | Case Manager/Care Coordinator | 58945 Business Center Dr #d, Yucca Valley, CA 92284-7307 | 2014-09-17 |
| 1740607555 | Tricia Biddle | Case Manager/Care Coordinator | 58945 Bus Center Drive, Yucca Valley, CA 92284-3536 | 2014-03-19 |
| 1376968883 | Lisa Koehler | Case Manager/Care Coordinator | 58945 Business Center Dr Ste J, Yucca Valley, CA 92284-7310 | 2014-02-20 |
| 1073943528 | Kathleen A Kisner | Case Manager/Care Coordinator | 55853 Onaga Trl, Yucca Valley, CA 92284-3363 | 2013-11-20 |
| 1457663650 | Kerry S. Sterne | Case Manager/Care Coordinator | 58957 Business Center Dr., Suite C & D, Yucca Valley, CA 92284-3117 | 2010-07-06 |
| 1598907081 | Beckie G Hollingshed | Case Manager/Care Coordinator | 58923 Business Center Dr Ste J, Yucca Valley, CA 92284-7311 | 2009-03-30 |
| Find all providers in YUCCA VALLEY | ||||
| City | YUCCA VALLEY |
| Zip Code | 92284 |
Please comment or provide details below to improve the information on MRS. TIFFANY N. FRALEY.
| 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.