Donald Appleby, RECOVERY ASSISTANT

Key facts

NPI

1962893131

Entity type

Individual (NPI type 1)

Primary specialty

Case Manager/Care Coordinator 171M00000X

Practice address

242 Shake Rag Rd
Clinton, AR 72031-6629

Phone

(501) 548-9905

NPI assigned

Feb 10, 2015

Sex

Male

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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 10, 2015.

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1962893131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1589",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720181589",
            "telephone_number": "501-315-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 SHAKE RAG RD",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720316629",
            "telephone_number": "501-548-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEBY",
        "first_name": "DONALD",
        "credential": "RECOVERY ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrea Autry, RECOVERY ASSISTANT
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All providers in Clinton, AR · Case Manager/Care Coordinator in Arkansas