Brianni Clark

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

905 N Redmond Rd
Jacksonville, AR 72076-3622

Phone

(501) 533-6302

Fax

(501) 241-1466

NPI assigned

Jul 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathfinder, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Jacksonville, AR
  • NPI 1326004466
  NPD
• Pathfinder, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, AR
  • NPI 1629035043
  NPD (past)

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1346974615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N REDMOND RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763622",
            "telephone_number": "501-533-6302",
            "fax_number": "501-241-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N REDMOND RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763622",
            "telephone_number": "501-533-6302",
            "fax_number": "501-241-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BRIANNI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earnie D Childress Jr., QBHP
• Reginnia Marie Christian
• City of Jacksonville
• Clararose Home Care
• Angela Clark, LPC
• Kala Allene Clark, MHPP
• Meagan Nichole Clark, CNA
• Casey Marie Cline, COTA/L
• Clinical Specialty Infusions LLC
• Melissa Sue Cohen, MMT, LE

• Case Manager/Care Coordinator in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.