Casey Leigh Brock, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

A03651 Issued in AR

Practice address

2200 Ada Ave
Ste 203
Conway, AR 72034-4985

Phone

(501) 205-8389

Fax

(888) 480-2845

NPI assigned

Mar 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Arkansas Heart Center

  • Cardiovascular Disease Physician
  • Conway, AR
  • NPI 1902163389
  Medicare reassignment

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1649545302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 SALMON LN",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728022282",
            "telephone_number": "501-205-8389",
            "fax_number": "888-480-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 ADA AVE",
            "address_2": "STE 203",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344985",
            "telephone_number": "501-205-8389",
            "fax_number": "888-480-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "CASEY",
        "middle_name": "LEIGH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A03651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Beth Briggler
• Brighter Days Counseling and Wellness LLC
• Kerri J Brinkley, PT
• Matthew Brister
• Brock K. King MD PA
• Dora Brockman, RECOVERY ASSISTANT
• Patrice Brockman, RECOVERY ASSISTANT
• Zyriah Brockman
• Christie L Bronson
• Aarial Shyanne Brooks

• Adult Health Nurse Practitioner in Conway, AR
• Providers in Conway, AR by specialty
• Adult Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.