Sadie Elizabeth Johnson
Individual provider Active NPI Case Manager/Care Coordinator · Walnut Ridge, AR
NPI 1013409960 · NPPES record last updated Jun 5, 2018
Key facts
- NPI
- 1013409960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 102 South Larkspur
Walnut Ridge, AR 72476 - Phone
- (870) 886-7924
- Fax
- (870) 886-7968
- NPI assigned
- Jun 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
102 South Larkspur
Walnut Ridge, AR 72476
Mailing address
2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 972-4939
Other providers in Walnut Ridge, AR
- Necole L Hughes
- Carrie Hunter
- Cassandra Lou Hunter
- Blake Jamison
- Kimberly Kaye Johnson
- Cody Jones
- Kelly G Ross OD PA
- Danny Handford Kent
- Kids and Company, LLC
- Kidspot Learning Center
All providers in Walnut Ridge, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.