Active NPI
Careconnect. Arkansas
- Community Health Worker
- Little Rock, AR
National Provider Identifier
1174356497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- CARECONNECT. ARKANSAS
- Practice address
- 11 Lorian Dr
Little Rock, AR 72212-2660 - Phone
- (501) 468-0779
- NPI assigned
- Aug 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deirdre Shead
- Title
- Director
- Phone
- (314) 600-1005
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary | ||
| Case Management Agency | 251B00000X |
Addresses
Primary practice location
11 Lorian Dr
Little Rock, AR 72212-2660
Mailing address
6834 Cantrell Rd
Little Rock, AR 72207-4135
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724284800000",
"number": "1174356497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6834 CANTRELL RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722074135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 LORIAN DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722122660",
"telephone_number": "501-468-0779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARECONNECT. ARKANSAS",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-22",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A",
"authorized_official_last_name": "SHEAD",
"authorized_official_first_name": "DEIRDRE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "314-600-1005"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.