Active NPI
William Craig Conrey, CBHCM
- Case Management Agency
- Ormond Beach, FL
National Provider Identifier
1619444296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 71A Cardinal Dr
Ormond Beach, FL 32176-7603 - Phone
- (321) 626-6628
- NPI assigned
- Oct 31, 2018
- Last updated
- Oct 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.