Joe Nathan Hall, BSW,CCS,LADAC,ACADC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Practice address

6841 W 13TH Ave
Pine Bluff, AR 71602-8680

Phone

(870) 879-1051

Fax

(870) 879-0118

NPI assigned

Sep 11, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Human Development and Research Services

  • Substance Abuse Rehabilitation Facility
  • Pine Bluff, AR
  • NPI 1205273000
  NPD (past) Authorized official

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1871928697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6841 W 13TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716028680",
            "telephone_number": "870-879-1051",
            "fax_number": "870-879-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6841 W 13TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716028680",
            "telephone_number": "870-879-1051",
            "fax_number": "870-879-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JOE",
        "middle_name": "NATHAN",
        "credential": "BSW,CCS,LADAC,ACADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Dianna Grubb, RD, LD
• Amanda Ruth Guise-McDonough, CNP
• Anthony Paul Gulotta, DO, MPH, MS
• Lajuana K Guy, MS
• Constance Hall, EDD/CI, MSN, BA, RN
• Latasha Sherray Hall, RN
• William Brent Hall, O.D.
• Shahid Hameed, MD
• Vikki Hamilton
• Lena D Hampton, LSW

• All providers in Pine Bluff, AR
• Substance Abuse Rehabilitation Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.