RODERICK DISON RECOVERY ASSISTANT
NPI 1790080620
Case Manager/Care Coordinator in Conway, AR

Q: What is Roderick Dison's NPI number?

The NPI number for Roderick Dison is 1790080620. It was assigned to this individual provider in the NPPES registry on January 25, 2011.

Q: What is Roderick Dison'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 Roderick Dison was last updated on January 25, 2011. 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 January 25, 2011

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

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Roderick Dison Recovery Assistant NPPES

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

RODERICK DISON RECOVERY ASSISTANT (NPI 1790080620) is an individual case manager/care coordinator provider in Conway, Arkansas and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1790080620

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameRODERICK DISONCredential: 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 DateJanuary 25, 2011

✔ NPI 1790080620 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

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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