Andrea Autry, RECOVERY ASSISTANT
Individual provider Active NPI Case Manager/Care Coordinator · Clinton, AR
NPI 1134510308 · NPPES record last updated Feb 10, 2015
Key facts
- NPI
- 1134510308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 242 Shake Rag Rd
Clinton, AR 72031-6629 - Phone
- (501) 745-6644
- NPI assigned
- Feb 10, 2015
- Sex
- Female
- Sole proprietor
- No
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 | AR | Yes |
Addresses
Primary practice location
242 Shake Rag Rd
Clinton, AR 72031-6629
Mailing address
PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344
Other providers in Clinton, AR
- Anchored Consulting & ABA Services LLC
- Jennie Anderson
- Jenny Andrews
- Donald Appleby
- Arkansas Home Medical Inc
- Baker Medical, Inc
- Debbie Ballard
- Madison Barnes
- Tara Ann Barnett
- Beavers Family Dentistry
All providers in Clinton, 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 Feb 10, 2015. 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.