Active NPI
Keith Darell Gregory, MHPP-CASE MANAGER
- Case Manager/Care Coordinator
- Osceola, AR
National Provider Identifier
1821423906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3201 W. Keiser Ave
Osceola, AR 72370 - Phone
- (870) 622-0592
- Fax
- (870) 622-0872
- NPI assigned
- Sep 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3201 W. Keiser Ave
Osceola, AR 72370
Mailing address
1815 Pleasant Grove Road
Jonesboro, AR 72404
Phone (870) 933-6886
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": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1821423906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 PLEASANT GROVE ROAD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72404",
"telephone_number": "870-933-6886",
"fax_number": "870-933-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W. KEISER AVE",
"city": "OSCEOLA",
"state": "AR",
"postal_code": "72370",
"telephone_number": "870-622-0592",
"fax_number": "870-622-0872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "KEITH",
"middle_name": "DARELL",
"credential": "MHPP-CASE MANAGER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-09",
"last_updated": "2015-09-10",
"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 Osceola, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.