High Country Early Intervention Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HIGH COUNTRY EARLY INTERVENTION INC

Doing business as

Karen Ann Fay

Practice address

3105 Clearwater Dr
Suite B
Prescott, AZ 86305-7166

Phone

(928) 776-9285

Fax

(928) 776-7753

NPI assigned

Aug 31, 2006

Last updated

Oct 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Anna M Mancha

Title

Executive Director

Phone

(928) 776-9285

Specialties & licenses 10

Addresses

Other identifiers 1

Other names 1

• Karen Ann Fay Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Sarge

  • Speech-Language Pathologist
  • Prescott, AZ
  • NPI 1023442837
  Medicare reassignment Care Compare group NPD
• Cynthia C Schmidt, CCC-SLP

  • Speech-Language Pathologist
  • Peoria, AZ
  • NPI 1255509071
  Medicare reassignment Care Compare group NPD
• Marti Jo Weinzinger

  • Speech-Language Pathologist
  • Prescott, AZ
  • NPI 1598191033
  Medicare reassignment Care Compare group NPD
• Kelsey Gardipee

  • Physical Therapist
  • Omaha, NE
  • NPI 1932166451

  AZ

  Medicare reassignment Care Compare group NPD
• Deeann Louise Lett Neal, OTR L

  • Occupational Therapist
  • Prescott, AZ
  • NPI 1164580577
  Medicare reassignment NPD
• Allison Anne Allen, OT/L

  • Occupational Therapist
  • Prescott, AZ
  • NPI 1003541160
  NPD
• Katherine Eyer, CF-SLP

  • Speech-Language Pathologist
  • Prescott, AZ
  • NPI 1205722287
  NPD
• Levi Joseph Huot, SLPA

  • Speech-Language Pathologist
  • Prescott, AZ
  • NPI 1184337586
  NPD
• William Alan Johnson, PTA

  • Physical Therapy Assistant
  • Prescott, AZ
  • NPI 1497460711
  NPD
• Emma Rae Kukulski

  • Speech-Language Assistant
  • Prescott, AZ
  • NPI 1073227328
  NPD
• Summer Alsatia Lamca, COTA/L

  • Occupational Therapy Assistant
  • Prescott, AZ
  • NPI 1578277661
  NPD
• Jordan Marie Schroeder

  • Speech-Language Assistant
  • Prescott, AZ
  • NPI 1922853472
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1144332107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 STILLWATER DR STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057151",
            "telephone_number": "928-776-4349",
            "fax_number": "928-776-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 CLEARWATER DR",
            "address_2": "SUITE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057166",
            "telephone_number": "928-776-9285",
            "fax_number": "928-776-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH COUNTRY EARLY INTERVENTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "MANCHA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-776-9285",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "4192",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "3724",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AZ",
            "license": "4192",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AZ",
            "license": "3724",
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "AZ",
            "license": "4192",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "5331",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "940454",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karen Ann Fay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hicks Dental Group, LTD.
• Beth Hicks, PSYD
• Braden Paul Hicks, DDS
• Paul William Hicks, D.D.S.
• Scott Edmund Hicks, D.D.S.
• High Desert Diagnostic Laboratory
• High Desert Surgery Center, L.L.C. (HDSC)
• High Mark Internal Medicine LP (High Mark Internal Medicine)
• Stacy Marie Hill, RN
• Debra M Hiller, ANP

• Home Health Agency in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.