Individual provider Active NPI

Essie L Hewett, TARGETED CASE MANAGE

  • Case Manager/Care Coordinator
  • Little Rock, AR
National Provider Identifier
1154610111
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
140168763
Practice address
6311 West 83Rd Street
Suite B
Little Rock, AR 72214
Phone
(501) 562-2788
Fax
(501) 562-2784
NPI assigned
Mar 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 121985746 AR
Case Manager/Care Coordinator 171M00000X 140168763 Primary

Addresses

Primary practice location

6311 West 83Rd Street
Suite B
Little Rock, AR 72214

Mailing address

6311 West 63Rd
Little Rock, AR 72209
Phone (501) 562-2788

Other identifiers 2

IdentifierTypeStateIssuer
140168763OtherARGROUP TARGETED CASE MANAGER NUMBER
121985746OtherARTARGETED CASE MANAGER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
121985746ARMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1154610111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 WEST 63RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72209",
            "telephone_number": "501-562-2788",
            "fax_number": "501-562-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 WEST 83RD STREET",
            "address_2": "SUITE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72214",
            "telephone_number": "501-562-2788",
            "fax_number": "501-562-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWETT",
        "first_name": "ESSIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "TARGETED CASE MANAGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": "121985746",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": "140168763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TARGETED CASE MANAGER NUMBER",
            "identifier": "140168763",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TARGETED CASE MANAGER",
            "identifier": "121985746",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.