Sleep Management Clinic-Ar, LLC

Primary specialty

Sleep Specialist (PhD)Taxonomy code 173F00000X

Legal business name

SLEEP MANAGEMENT CLINIC-AR, LLC

Practice address

201 E Oak Ave
Suite B
Jonesboro, AR 72401-4163

Phone

(901) 405-1025

NPI assigned

May 1, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Devin Duane Donaldson

Title

Ceo

Phone

(901) 405-1025

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1336674035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 SANBYRN DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E OAK AVE",
            "address_2": "SUITE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014163",
            "telephone_number": "901-405-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP MANAGEMENT CLINIC-AR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-405-1025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Specialist (PhD) in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Sleep Specialist (PhD) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.