RODNEY WALLER RECOVERY ASSISTANT
NPI 1053613471
Case Manager/Care Coordinator in Conway, AR

Q: What is Rodney Waller's NPI number?

The NPI number for Rodney Waller is 1053613471. It was assigned to this individual provider in the NPPES registry on November 18, 2010.

Q: What is Rodney Waller's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Rodney Waller was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 18, 2010

132 LOWER RIDGE RD, CONWAY, AR 72032(501) 548-9905 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Rodney Waller Recovery Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RODNEY WALLER RECOVERY ASSISTANT (NPI 1053613471) is an individual case manager/care coordinator provider in Conway, Arkansas and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1053613471

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameRODNEY WALLERCredential: RECOVERY ASSISTANT

Location Address132 LOWER RIDGE RDConway, AR 72032-8518

Mailing AddressPo Box 1589Benton, AR 72018-1589 · (501) 315-3344

Phone(501) 548-9905

Sole ProprietorNo

Enumeration DateNovember 18, 2010

✔ NPI 1053613471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

132 LOWER RIDGE RD, Conway, AR 72032

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JIMI HENDERSON SR. RECOVERY ASSISTANT

Case Manager/Care Coordinator