Friendship Community Care

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

FRIENDSHIP COMMUNITY CARE

Practice address

212 S Lincoln St
Lowell, AR 72745-9782

Phone

(479) 770-0744

NPI assigned

Feb 17, 2022

Organization subpart

No

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

Authorized official

Name

Tori Pattermann

Title

Bcba

Phone

(479) 957-4967

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1508511593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 W EMMA AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727623914",
            "telephone_number": "479-228-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S LINCOLN ST",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727459782",
            "telephone_number": "479-770-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "PATTERMANN",
        "authorized_official_first_name": "TORI",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "479-957-4967"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David B. Fort Jr., M.D.
• Robin Lianne Forward-Wise, M.D.
• Nerissa S France
• Michael Antoni Franklin, MS,CF-SLP
• Ryan M Frederick, LPC
• Marcia Lynn Fuller, M.S.
• Cheryl A Fulton, DO
• Caleb O Gaston, M.D.
• Anne Godby, MS, CCC-SLP
• Annelise Zaring Gonzalez, PA-C

• All providers in Lowell, AR
• Developmental Disabilities Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.