Individual provider Active NPI

Dawn Born-Roaf, BS

  • Case Manager/Care Coordinator
  • Little Rock, AR
National Provider Identifier
1407009699
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1120 Marshall St
Slot 654 South Campus BLDG 5TH Floor
Little Rock, AR 72202-4610
Phone
(501) 364-5150
NPI assigned
Oct 31, 2008
Last updated
Oct 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1120 Marshall St
Slot 654 South Campus BLDG 5TH Floor
Little Rock, AR 72202-4610

Mailing address

1120 Marshall St
Slot 654 South Campus BLDG 5TH Floor
Little Rock, AR 72202-4610
Phone (501) 364-5150

Other names 1

  • Ms. Dawn Born Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1407009699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MARSHALL ST",
            "address_2": "SLOT 654 SOUTH CAMPUS BLDG 5TH FLOOR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722024610",
            "telephone_number": "501-364-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MARSHALL ST",
            "address_2": "SLOT 654 SOUTH CAMPUS BLDG 5TH FLOOR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722024610",
            "telephone_number": "501-364-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORN-ROAF",
        "first_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "BORN",
            "prefix": "MS.",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.