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CASANDRA FAY FRASER
NPI 1396487997
Peer Specialist in Concho, OK

Active since April 13, 2022
100 RED MOON CIRCLE, 100 RED MOON CIRCLE, CONCHO, OK 73022(405) 422-7452 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 31, 2023, Apr 13, 2022 (2 updates tracked since 2022).

About Casandra Fay Fraser NPPES

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

CASANDRA FAY FRASER (NPI 1396487997) is an individual peer specialist in Concho, Oklahoma and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1396487997
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameCASANDRA FAY FRASER
Location Address100 RED MOON CIRCLE, 100 RED MOON CIRCLEConcho, OK 73022
Mailing Address1400 W Elm St Apt 251400El Reno, OK 73036-4952 · (405) 549-3519
Phone(405) 422-7452
Sole ProprietorYes
Enumeration DateApril 13, 2022
Last NPPES UpdateMarch 31, 20232 updates tracked since enumeration
NPPES CertifiedMarch 31, 2023
✔ NPI 1396487997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

100 RED MOON CIRCLE, Concho, OK 73022
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Other Providers at the Same Location NPPES 3

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

MACKENZIE LINN WASHA
Peer Specialist
100 RED MOON CIRCLE, TRIBAL OPIOID RESPONSE PROJECT
CONCHO, OK 73022
Canadian County (405) 422-7452
BARRY LUKE BOTONE P.R.S.S
Peer Specialist
100 RED MOON CIRCLE
CONCHO, OK 73022
Canadian County (405) 422-7452
CHEYENNE AND ARAPAHO TRIBES OF OKLAHOMA
Eyewear Supplier
100 RED MOON CIRCLE
CONCHO, OK 73022
Canadian County (405) 422-7688

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casandra Fraser's NPI number?

The NPI number for Casandra Fraser is 1396487997. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Casandra Fraser located?

Casandra Fraser practices at 100 Red Moon Circle 100 Red Moon Circle, Concho, OK 73022. The listed phone number is (405) 422-7452.

What is Casandra Fraser's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Casandra Fraser was last updated on March 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.