Michele Fredrickson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

204 Wall St
Poteau, OK 74953-4400

Phone

(918) 649-0018

NPI assigned

Mar 22, 2022

Last updated

Mar 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Hope Counseling and Guidance Center LLC

  • Counselor
  • Poteau, OK
  • NPI 1457991770
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1073262515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 653",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749530653",
            "telephone_number": "918-649-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WALL ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534400",
            "telephone_number": "918-649-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICKSON",
        "first_name": "MICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Fields
• Jason Floyd
• Mallary Flurry
• Fort Smith Regional Dialysis Center, LLC (Poteau Dialysis Center)
• Rhonda Sue Fox
• Cecilia G Freeman, BSW
• Gary Wayne Furr Jr.
• Brenda J. Garland, PSRS
• Sherry Melinda Garner, BA
• Alison Leann Garrett, B.S.

• Case Manager/Care Coordinator in Poteau, OK
• Providers in Poteau, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.