Individual provider Active NPI

Maria L Wrinkle

  • Case Manager/Care Coordinator
  • Mountain View, AR
National Provider Identifier
1659414498
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
218 Dogwood Hollow Rd
Mountain View, AR 72560-7942
Phone
(870) 269-7577
Fax
(501) 303-3188
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 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

218 Dogwood Hollow Rd
Mountain View, AR 72560-7942

Mailing address

417 N Peabody Street
PO Box 1660
MTN View, AR 72560
Phone (870) 269-7577

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1659414498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N PEABODY STREET",
            "address_2": "PO BOX 1660",
            "city": "MTN VIEW",
            "state": "AR",
            "postal_code": "72560",
            "telephone_number": "870-269-7577",
            "fax_number": "501-303-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 DOGWOOD HOLLOW RD",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725607942",
            "telephone_number": "870-269-7577",
            "fax_number": "501-303-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRINKLE",
        "first_name": "MARIA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.