KAYLA MITCHELLE FRATRICK (NPI# 1700131851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700131851 |
Entity Type | Individual |
Full Name | KAYLA MITCHELLE FRATRICK |
Credential | LLMSW |
Practice Address |
632 N Shiawassee Street Owosso MI 48867-2645 |
Mailing Address |
P.o. Box 289 585 Jewett Rd Mason MI 48854-8729 |
Practice Telephone | 9897230330 |
Practice Fax Number | 5176765460 |
Mailing Telephone | 5176765405 |
Mailing Fax Number | 5176765460 |
Enumeration Date | 2012-07-16 |
Last Update Date | 2016-12-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 104100000X | Social Worker | 6801092677 | MI | Behavioral Health & Social Service Providers |
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
632 N SHIAWASSEE STREET |
City | OWOSSO |
State | MI |
Zip Code | 48867-2645 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275093908 | Sabrina Hughes | Technician | 1350 E M 21 Ste 304, Owosso, MI 48867 | 2019-03-20 |
1124521869 | Karry Lynn Wilson | Occupational Therapist | 275 Caledonia Drive, Owosso, MI 48867 | 2018-03-08 |
1740782051 | Holly Krystine Taylor | Occupational Therapy Assistant | 275 Caledonia Dr, Owosso, MI 48867 | 2018-03-02 |
1255833703 | Misty Sue Yerrick | Occupational Therapy Assistant | 275 Caladonia Dr, Owosso, MI 48867 | 2018-03-01 |
1699276212 | Chantel Marie Ferrio | Physical Medicine & Rehabilitation | 275 Caldonia Drive, Owosso, MI 48867 | 2018-02-28 |
1083127880 | The Arc Shiawassee County Inc | Respite Care | 1905 West M-21, Owosso, MI 48867 | 2017-11-15 |
1609317486 | Moses Prempeh | Pharmacist | 1002 E Main St, Owosso, MI 48867 | 2017-03-14 |
1083065312 | Lauren Quinlan | Behavioral Analyst | 912 S Washington St, Owosso, MI 48867 | 2016-06-28 |
1952790990 | Ashley Nemeth | Occupational Therapy Assistant | 3130 W Brewer Rd, Owosso, MI 48867 | 2015-01-14 |
1538432174 | Marc W. Perry | Counselor | 120 W. Exchange Street, Suite 300, Catholic Charities, Owosso, MI 48867 | 2012-02-13 |
Find all providers in zip 48867 |
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 |
---|---|---|---|---|
1104343789 | Joel Allen Tomlinson | Case Manager/Care Coordinator | 1480 N M 52 Ste 1, Owosso, MI 48867-1025 | 2017-08-24 |
1497370134 | Brandi Thiel | Case Manager/Care Coordinator | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2020-06-09 |
1245886548 | Cheri Dod-good | Case Manager/Care Coordinator | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2019-08-13 |
1164084208 | Amy Granger | Case Manager/Care Coordinator | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2019-06-28 |
1275008641 | Laura Vyvyan | Case Manager/Care Coordinator | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2018-10-11 |
1811409477 | Christina Dowd | Case Manager/Care Coordinator | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2017-11-03 |
1336659291 | Matthew Dohring | Case Manager/Care Coordinator | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2017-10-05 |
1245777085 | Paul Panik | Case Manager/Care Coordinator | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2017-01-31 |
1194262451 | Nicola Hopkins | Case Manager/Care Coordinator | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2017-01-25 |
1487049664 | Eric Barriger | Case Manager/Care Coordinator | 632 N Shiawassee St, Owosso, MI 48867-2232 | 2015-04-03 |
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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.