Mary K Darrell, BS, QBHP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

0000 Issued in AR

Practice address

114 E Crandall Ave Ste B
Harrison, AR 72601-3628

Phone

(870) 741-8484

Fax

(870) 741-4088

NPI assigned

Feb 12, 2020

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

Other identifiers 1

Other names 1

• Mary K Ellerbroek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1669004115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 E JOYCE BLVD STE 201",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035285",
            "telephone_number": "479-575-9471",
            "fax_number": "479-587-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E CRANDALL AVE STE B",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013628",
            "telephone_number": "870-741-8484",
            "fax_number": "870-741-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARRELL",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "BS, QBHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238655795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ELLERBROEK",
            "middle_name": "K",
            "credential": "BS, QBHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Culpepper, MHPP
• Misty Curry
• Allison Curtis, PTA
• Laken Nichole Curtis
• Shannon Jean Darnell, MHPP/TEACHER
• David a. Yates & Associates, LLC
• David P Schwarz O D P C
• David R. Kernodle, D.D.S.,P.C.
• Tracy Lynn Davidson, MHPP
• Alexa Dale Davis, PHD

• Case Manager/Care Coordinator in Harrison, AR
• Providers in Harrison, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.