Individual provider Active NPI

William Craig Conrey, CBHCM

  • Case Management Agency
  • Ormond Beach, FL
National Provider Identifier
1619444296
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Practice address
71A Cardinal Dr
Ormond Beach, FL 32176-7603
Phone
(321) 626-6628
NPI assigned
Oct 31, 2018
Last updated
Oct 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

71A Cardinal Dr
Ormond Beach, FL 32176-7603

Mailing address

71A Cardinal Dr
Ormond Beach, FL 32176-7603

Other practice location 1

225 S Swoope Ave Ste 211
Maitland, FL 32751-5786
Phone (321) 626-6628

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

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1619444296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71A CARDINAL DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321767603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71A CARDINAL DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321767603",
            "telephone_number": "321-626-6628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 S Swoope Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327515786",
            "country_code": "US",
            "telephone_number": "321-626-6628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONREY",
        "first_name": "WILLIAM",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "CBHCM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.