Active NPI
Brenda Fleming, RN, CCM
- Case Management Registered Nurse
- Cabot, AR
National Provider Identifier
1740941319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- R79715
- Practice address
- 2824 McNeill CV
Cabot, AR 72023-7056 - Phone
- (501) 650-0575
- NPI assigned
- Jan 6, 2022
- Sex
- Female
- Sole proprietor
- No
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 Registered Nurse | 163WC0400X | R79715 | AR | Primary |
Addresses
Primary practice location
2824 McNeill CV
Cabot, AR 72023-7056
Mailing address
1391 NW 136TH Ave
Sunrise, FL 33323-2800
Phone (501) 650-0575
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R79715 | AR | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1740941319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1391 NW 136TH AVE",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232800",
"telephone_number": "501-650-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2824 MCNEILL CV",
"city": "CABOT",
"state": "AR",
"postal_code": "720237056",
"telephone_number": "501-650-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "BRENDA",
"credential": "RN, CCM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "AR",
"license": "R79715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cabot, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.