Leotis Gist, RECOVERY ASSISTANT
Individual provider Active NPI Case Manager/Care Coordinator · Newport, AR
NPI 1346671609 · NPPES record last updated Dec 11, 2013
Key facts
- NPI
- 1346671609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 210 Third St
Newport, AR 72112-3302 - Phone
- (870) 524-9496
- NPI assigned
- Dec 11, 2013
- 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 | AR | Yes |
Addresses
Primary practice location
210 Third St
Newport, AR 72112-3302
Mailing address
PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344
Other providers in Newport, AR
- Alexia Friar
- Kaelin Garcia
- Alexandria Brooke Garrett
- Gates Eye Care Center, Inc.
- Jason Deon Gates
- Amanda Goldman
- Olivia Peek Goodon
- Ronald D Gore
- Stephen J. Graham Jr.
- Ahmad Granberry
All providers in Newport, 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 Dec 11, 2013. 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.