Hannah Blackketter
Individual provider Active NPI Case Manager/Care Coordinator · Little Rock, AR
NPI 1316623432 · NPPES record last updated Jun 23, 2023
Key facts
- NPI
- 1316623432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 12320 Interstate 30
Little Rock, AR 72210-7027 - Phone
- (501) 737-4320
- NPI assigned
- Jun 23, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Baptist Children'S Homes and Family Ministries | Current |
Accepting new patients |
Locations
12320 Interstate 30
Little Rock, AR 72210
Phone (501) 410-1567
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
12320 Interstate 30
Little Rock, AR 72210-7027
Mailing address
12320 Interstate 30
Little Rock, AR 72210-7027
Other providers in Little Rock, AR
- Jasmine Black
- Jennifer Black
- Nan Monroe Black
- Ronda Black
- Sherry Black
- Blackmon Care Home Care
- Blackmon Chiropractic Clinic, P.a.
- Christopher Royse Blackmon
- Jamar Darnell Blackmon
- Lasonjia Denise Blackmon
All providers in Little Rock, 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 23, 2023. 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.