Vista Health Day Treatment

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

VISTA HEALTH DAY TREATMENT

Practice address

4253 N Crossover Rd
Fayetteville, AR 72703-4593

Phone

(479) 521-5731

Fax

(479) 521-6520

NPI assigned

May 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jamia Shaunt'E Fisher, M.H.P.P.

Title

Mental Health Paraprofessional

Phone

(479) 521-5731

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013120187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4253 N CROSSOVER RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034593",
            "telephone_number": "479-521-5731",
            "fax_number": "479-521-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4253 N CROSSOVER RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034593",
            "telephone_number": "479-521-5731",
            "fax_number": "479-521-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA HEALTH DAY TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JAMIA",
        "authorized_official_middle_name": "SHAUNT'E",
        "authorized_official_title_or_position": "MENTAL HEALTH PARAPROFESSIONAL",
        "authorized_official_telephone_number": "479-521-5731",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.H.P.P."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.