Individual provider Active NPI

Adam Stevens, MHPP

  • Case Manager/Care Coordinator
  • Conway, AR
National Provider Identifier
1184030850
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2215 E Oak St Ste 1
Conway, AR 72032-4644
Phone
(501) 336-0511
Fax
(501) 336-4037
NPI assigned
Jul 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 1

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

Addresses

Primary practice location

2215 E Oak St Ste 1
Conway, AR 72032-4644

Mailing address

2215 E Oak St Ste 1
Conway, AR 72032-4644
Phone (501) 336-0511

Other practice location 1

2000 Aldersgate Rd
Little Rock, AR 72205-7018
Phone (501) 217-0183

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

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1184030850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E OAK ST STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324644",
            "telephone_number": "501-336-0511",
            "fax_number": "501-336-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E OAK ST STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324644",
            "telephone_number": "501-336-0511",
            "fax_number": "501-336-4037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Aldersgate Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057018",
            "country_code": "US",
            "telephone_number": "501-217-0183",
            "fax_number": "501-217-9757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ADAM",
        "credential": "MHPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.