Casandra Fay Fraser
Individual provider Active NPI Peer Specialist · Concho, OK
NPI 1396487997 · NPPES record last updated Mar 31, 2023
Key facts
- NPI
- 1396487997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 100 Red Moon Circle
100 Red Moon Circle
Concho, OK 73022 - Phone
- (405) 422-7452
- NPI assigned
- Apr 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
100 Red Moon Circle
100 Red Moon Circle
Concho, OK 73022
Mailing address
1400 W Elm St Apt 251400
El Reno, OK 73036-4952
Phone (405) 549-3519
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cfraser@cheyenneandarapaho-nsn.gov | Other |
Other providers in Concho, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.