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KEONNA FUQUA
NPI 1871121699
Case Manager/Care Coordinator in Mansfield, OH

Active since March 28, 2020
1033 LARCHWOOD RD, MANSFIELD, OH 44907(419) 747-4122(419) 747-4126 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2025, Apr 23, 2024, Apr 19, 2024 and 2 more (5 updates tracked since 2020).

About Keonna Fuqua NPPES

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

KEONNA FUQUA (NPI 1871121699) is an individual case manager/care coordinator provider in Mansfield, Ohio and active in the NPI registry since March 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871121699
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKEONNA FUQUA
Location Address1033 LARCHWOOD RDMansfield, OH 44907-2424
Mailing Address525 Metro Pl N Ste 300Dublin, OH 43017-5320
Phone(419) 747-4122
Fax(419) 747-4126
Sole ProprietorNo
Enumeration DateMarch 28, 2020
Last NPPES UpdateNovember 3, 20255 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1871121699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1033 LARCHWOOD RD, Mansfield, OH 44907
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Secondary Practice Locations 2

Location 115703 Longenbaugh Dr, Suite HHouston, TX 77095-1605 · Phone (303) 989-8169
Location 2525 Metro Pl N Ste 300Dublin, OH 43017-5320 · Phone (855) 289-1722

Other Identifiers 1

Medicaid2910854OH

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.

JORDAN LOUK I
Behavior Technician
1033 LARCHWOOD RD
MANSFIELD, OH 44907
Richland County (419) 747-4122
VICTORIA LYNN MARTIN
Behavior Technician
1033 LARCHWOOD RD
MANSFIELD, OH 44907
Richland County (419) 747-4122
JEWEL PRATER
Behavior Analyst
1033 LARCHWOOD RD
MANSFIELD, OH 44907
Richland County (419) 747-4122
BRITTONEY ROANE
Behavior Technician
1033 LARCHWOOD RD
MANSFIELD, OH 44907
Richland County (419) 747-4122
LINDSEY BERRY
Behavior Technician
1033 LARCHWOOD RD
MANSFIELD, OH 44907
Richland County (419) 747-4122
TATIANA CHEATHEM
Behavior Technician
1033 LARCHWOOD RD
MANSFIELD, OH 44907
Richland County (419) 747-4122
KRISTINA BERG
Behavior Technician
1033 LARCHWOOD RD
MANSFIELD, OH 44907
Richland County (419) 747-4122
TALIA ALEXANDRA LUCAS RBT
Behavior Technician
1033 LARCHWOOD RD
MANSFIELD, OH 44907
Richland County (419) 747-4122

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 Keonna Fuqua's NPI number?

The NPI number for Keonna Fuqua is 1871121699. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Where is Keonna Fuqua located?

Keonna Fuqua practices at 1033 Larchwood Rd, Mansfield, OH 44907. The listed phone number is (419) 747-4122.

What is Keonna Fuqua's specialty?

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

When was this NPI record last updated?

The NPPES record for Keonna Fuqua was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.