Rosemarie Davenport, MHPP III

Key facts

NPI

1821336017

Entity type

Individual (NPI type 1)

Primary specialty

Case Manager/Care Coordinator 171M00000X

Practice address

319 Highway 14 South
Yellville, AR 72687

Phone

(866) 308-9927

Fax

(870) 449-5178

NPI assigned

Jan 22, 2013

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

Other names

• Rosemarie O'Brien Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 22, 2013.

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1821336017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 MC 5002",
            "city": "YELLVILLE",
            "state": "AR",
            "postal_code": "726877929",
            "telephone_number": "619-302-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 HIGHWAY 14 SOUTH",
            "city": "YELLVILLE",
            "state": "AR",
            "postal_code": "72687",
            "telephone_number": "866-308-9927",
            "fax_number": "870-449-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "ROSEMARIE",
        "credential": "MHPP III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEMARIE",
            "last_name": "O'BRIEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Yellville, AR · Case Manager/Care Coordinator in Arkansas