Victoria Carter, RECOVERY ASSISTANT

Key facts

NPI

1356745210

Entity type

Individual (NPI type 1)

Primary specialty

Case Manager/Care Coordinator 171M00000X

Practice address

132 Lower Ridge Rd
Conway, AR 72032-8518

Phone

(501) 548-9905

NPI assigned

Oct 21, 2014

Sex

Female

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

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 21, 2014.

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1356745210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1589",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720181589",
            "telephone_number": "501-315-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 LOWER RIDGE RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720328518",
            "telephone_number": "501-548-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "VICTORIA",
        "credential": "RECOVERY ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

• Samantha Carter-Scott, BCBA
• German Gerome Carter
• Lindsey Morgan Carter, LCSW
• Todd Carter, M.D.
• Tymira Carter
• Yvonne A. Carter, M.ED-PH.D
• Sarita Carver, RRT
• Erin Kathleen Casanova, PT, DPT
• Jacey Carol Case, MS CCC-SLP
• Olivia Cash, BT

All providers in Conway, AR · Case Manager/Care Coordinator in Arkansas