Jonathan Aquino Godbolt
Individual provider Active NPI Case Manager/Care Coordinator · Prescott, AR
NPI 1245899491 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1245899491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1658 US Highway 371
Prescott, AR 71857-7064 - Phone
- (807) 887-3660
- NPI assigned
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1658 US Highway 371
Prescott, AR 71857-7064
Mailing address
2904 Arkansas Blvd
Texarkana, AR 71854-2536
Other providers in Prescott, AR
- Melissa Kaye Franklin
- Lynda Gayle Gardner
- Adrienne Gatlin
- Ryan Wayne Gilbert
- Karla Stephens Gober I
- Angelo M Goshen
- Elizabeth Kiann Green
- Travell Green
- Joshua Griffin
- Katherine Guidry
All providers in Prescott, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.