Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY FANGER
NPI 1538053863
Case Manager/Care Coordinator in Beachwood, OH

Q: What is Kelly Fanger's NPI number?

The NPI number for Kelly Fanger is 1538053863. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Q: What is Kelly Fanger'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 Kelly Fanger was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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 June 03, 2025

3966 WARRENSVILLE CENTER RD, BEACHWOOD, OH 44122(440) 340-5086(440) 340-5035 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 18, 2026, Jun 3, 2025 (2 updates tracked since 2025).

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About Kelly Fanger NPPES

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

KELLY FANGER (NPI 1538053863) is an individual case manager/care coordinator provider in Beachwood, Ohio and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1538053863

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKELLY FANGER

Location Address3966 WARRENSVILLE CENTER RDBeachwood, OH 44122-6770

Mailing Address5900 Landerbrook Dr Ste 301Mayfield Heights, OH 44124-4020 · (216) 972-6163

Phone(440) 340-5086

Fax(440) 340-5035

Sole ProprietorNo

Enumeration DateJune 3, 2025

Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1538053863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

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 ListedSocial WorkerTaxonomy 104100000X · License S.2604986-TRNE (OH)

3966 WARRENSVILLE CENTER RD, Beachwood, OH 44122

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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.

MICAH HARRIS

Case Manager/Care Coordinator