NANA K NKETIAH
NPI 1013604206
Case Manager/Care Coordinator in Fairfield, CA

Q: What is Nana Nketiah's NPI number?

The NPI number for Nana Nketiah is 1013604206. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Q: What is Nana Nketiah's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Nana Nketiah was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2023

2101 COURAGE DR, FAIRFIELD, CA 94533(707) 428-1131(707) 399-9141 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nana K Nketiah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NANA K NKETIAH (NPI 1013604206) is an individual case manager/care coordinator provider in Fairfield, California, licensed in (171M00000X) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1013604206

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameNANA K NKETIAH

Location Address2101 COURAGE DRFairfield, CA 94533

Mailing Address2101 Courage DrFairfield, CA 94533 · (707) 428-1131 · Fax (707) 399-9141

Phone(707) 428-1131

Fax(707) 399-9141

Sole ProprietorNo

Enumeration DateApril 19, 2023

NPPES CertifiedApril 12, 2023

✔ NPI 1013604206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed · 171M00000X

Definition

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.

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X

2101 COURAGE DR, Fairfield, CA 94533

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JENNIFER RUTH PETTIBONE RN

Registered Nurse (Psychiatric/Mental Health)

2101 COURAGE DR, MS-10-200
FAIRFIELD, CA 94533

Solano County (707) 784-2154

MALISSA BLAIR RN

Registered Nurse