C&D Disability.Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

C&D DISABILITY.INC

Doing business as

Same

Practice address

4806 W 9TH Street
Pine Bluff, AR 71603

Phone

(870) 879-6149

Fax

(870) 879-1998

NPI assigned

Oct 17, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Donna Jean-Lacy Roberson

Title

Ceo/

Phone

(870) 879-6149

Specialties & licenses 2

Addresses

Other names 1

• Same Doing business as

Tax ID family

C D Disability2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• C & D Disability

  • Developmentally Disabled Services Day Training Agency
  • Stephens, AR
  • NPI 1689797862
  NPD tax ID

Locations

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1992080469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 W 9TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716031683",
            "telephone_number": "870-879-6149",
            "fax_number": "870-879-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4806 W 9TH STREET",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "71603",
            "telephone_number": "870-879-6149",
            "fax_number": "870-879-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&D DISABILITY.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JEAN-LACY",
        "authorized_official_title_or_position": "CEO/",
        "authorized_official_telephone_number": "870-879-6149",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Same",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Butterfield, PHARMD
• Oberia Lashon Byrd-Hunt
• David Larry Byrd, PD
• Jaron Fredrick Byrd, MD
• Richard L Byrd Jr., M.ED
• Linda G Cabine, A.N.P.
• Shelly R Caine, RN
• Calvin M Bracy MD PA
• Roger Cameron, ACADC, CCS
• Brian Campbell Jimenez, M.D.

• Case Management Agency in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Case Management Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.