Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871121699 Individual Practitioner Female Practitioner

Keonna Fuqua

Case Manager/Care Coordinator • Mansfield, OH

Professional Overview & Biography Verified Profile Summary

Keonna Fuqua is a registered healthcare professional specializing in Case Manager/Care Coordinator in Mansfield, OH. Practice services are available at 1033 LARCHWOOD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1033 Larchwood Rd

Mansfield, OH 449072424

Telephone 4197474122
Fax 4197474126
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Mansfield, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
192 Specialists

Practicing in Mansfield, OH (35490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-03
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2910854 (OH)

Secondary Practice Locations

525 Metro Pl N Ste 300

Dublin, OH 430175320

Phone: 8552891722

15703 Longenbaugh Dr, Suite H

Houston, TX 770951605

Phone: 3039898169

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
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Behavior Technician

NPI 1003323064
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NPI 1003381898
Jewel Prater

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NPI 1003524372
Brittoney Roane

Behavior Technician

NPI 1003609397
Lindsey Berry

Behavior Technician

NPI 1003649161
Tatiana Cheathem

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NPI 1003691486

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Business Mailing Address November 03, 2025

Registered at 525 METRO PL N STE 300, DUBLIN, OH 430175320

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2024

Case Manager/Care Coordinator

📍
Updated Practice Location April 23, 2024

Registered at 1033 LARCHWOOD RD, MANSFIELD, OH 449072424 (Tel: 4197474122)

📍
Updated Business Mailing Address April 23, 2024

Registered at 1915 FOUNTAINVIEW CT, COLUMBUS, OH 432322111

📍
Updated Practice Location August 05, 2022

Registered at 15703 LONGENBAUGH DR, SUITE H, HOUSTON, TX 770951605 (Tel: 3039898169)

📍
Updated Business Mailing Address August 05, 2022

Registered at 15703 LONGENBAUGH DR, SUITE H, HOUSTON, TX 770951605

👤
Provider Name / Credentials Updated August 05, 2022

Recorded as KEONNA FUQUA

NPI Profile Active March 28, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2020

Registered at 2825 W TOWN CENTER CIR, KINGWOOD, TX 773393734 (Tel: 2815702420)

📍
Updated Business Mailing Address March 28, 2020

Registered at 2825 W TOWN CENTER CIR, KINGWOOD, TX 773393734 (Tel: 2815702420)

👤
Provider Name / Credentials Updated March 28, 2020

Recorded as KEONNA FUQUA, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2020

Behavior Technician

🟢
Initial NPI Registration & Enumeration March 28, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871121699
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2020
Last Update: November 03, 2025
Sole Proprietor: No

Mailing Address

525 Metro Pl N Ste 300

Dublin, OH 430175320

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.