Organization Active NPI

Careconnect. Arkansas

  • Community Health Worker
  • Little Rock, AR
National Provider Identifier
1174356497
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
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

Updated by the provider on Aug 22, 2024

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)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.