Frank Cordova

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

900 S Parker Haskell St
Benton, AR 72015-8961

Phone

(501) 615-7959

NPI assigned

Mar 22, 2022

Last updated

Mar 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1053060350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PARKER HASKELL ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720158961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S PARKER HASKELL ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720158961",
            "telephone_number": "501-615-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "FRANK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12022",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35361",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADECR",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jjjwilliams440@gmail.com",
            "affiliation": "N",
            "address_1": "900 S Parker Haskell St",
            "city": "Benton",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720158961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shanie Spring Cooper, DC
• Juana Copta-Vaughan, LPN
• Sara Megan Corbishley, PLMSW
• Laura Corbo, RECOVERY ASSISTANT
• Angela Corder, RECOVERY ASSISTANT
• Core Empowerment Group LLC
• Stacie Michelle Cornwell, MSED
• Olen Cossey, LPN
• Jana Cotton, QBHP
• Adrian Cottrell

• Rehabilitation Practitioner in Benton, AR
• Providers in Benton, AR by specialty
• Rehabilitation Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.