Shannon Williams

Key facts

NPI

1831387737

Entity type

Individual (NPI type 1)

Primary specialty

Case Manager/Care Coordinator 171M00000X

Practice address

200 E Main St
Marshall, AR 72650

Phone

(870) 448-3724

Fax

(870) 448-3535

NPI assigned

Oct 5, 2007

Sex

Female

Sole proprietor

No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alternative Oppurtunities Case Management Agency · Batesville, AR · NPI 1720063779
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 13, 2009.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1831387737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2578",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725032578",
            "telephone_number": "870-793-8900",
            "fax_number": "870-793-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST",
            "city": "MARSHALL",
            "state": "AR",
            "postal_code": "72650",
            "telephone_number": "870-448-3724",
            "fax_number": "870-448-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2009-03-13",
        "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 Marshall, AR

• White River Health System
• Amy White, PMHNP
• Jeri A White, RN,C
• Kelsey Whitelaw, PHARMD
• Mary W. Williams, OTR/L
• Haley Yarbrough, LCSW

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