Active NPI
Veronica Lynn Nelson, COUNSELOR
- Case Manager/Care Coordinator
- White Hall, AR
National Provider Identifier
1184053944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 204 Frankie LN
White Hall, AR 71602-2699 - Phone
- (870) 247-2008
- NPI assigned
- Nov 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | AR | ||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
204 Frankie LN
White Hall, AR 71602-2699
Mailing address
4 Deer Horn CV
Pine Bluff, AR 71603-8150
Phone (870) 395-0006
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": "1383350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1184053944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 DEER HORN CV",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716038150",
"telephone_number": "870-395-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 FRANKIE LN",
"city": "WHITE HALL",
"state": "AR",
"postal_code": "716022699",
"telephone_number": "870-247-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "VERONICA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "COUNSELOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-02",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Hall, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.