MRS. MELISSA MARRIOTT (NPI# 1477995603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477995603 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA MARRIOTT |
| Credential | RD, LD |
| Practice Address |
1 Medical Park Dr Benton AR 72015-3353 |
| Mailing Address |
108 Doe Run Pl Hot Springs AR 71913-7566 |
| Practice Telephone | 5017766052 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1357 | AR | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | LD 003897 | GA | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 2271 | AL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396117768 | Melissa Marriott | Specialist/Technologist | 4825 E Roosevelt St, Phoenix, AZ 85008-5917 | 2015-10-26 |
| Street Address |
1 MEDICAL PARK DR |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808217 | Megan Wheat | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2020-10-09 |
| 1861019721 | Traci C Crump | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2020-06-26 |
| 1669091195 | Jessica Lee Roper | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2020-04-14 |
| 1134767627 | Penny Kaye Bettis | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-12-15 |
| 1598328163 | Rachel Catherine Huynh | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-04-18 |
| 1154889707 | Panfilo Estrada-flores | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-03-03 |
| 1063976389 | Mackenzie Cole | Physician Assistant | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-01-31 |
| 1396224002 | Devin Annette Devlin | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2018-08-13 |
| 1679084404 | Lindsay Queen | Dietitian, Registered | 1 Medical Park Dr, Benton, AR 72015-3353 | 2017-10-19 |
| 1073031878 | Jennifer Faughn Neighbors | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2017-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053868240 | Courtney Sutterfield | Dietitian, Registered | 7909 S Shoreline Blvd, Benton, AR 72019-8795 | 2016-09-06 |
| 1255671046 | Sarah R Money | Dietitian, Registered | 1000 Highway 35 N Ste 9, Benton, AR 72019-2353 | 2013-02-15 |
| 1386854883 | Alicia Meredith | Dietitian, Registered | 3 Medical Park Dr Ste 200, Benton, AR 72015-3725 | 2007-05-23 |
| 1144788571 | Brittany Ann Greenwood | Dietitian, Registered | 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 | 2019-03-05 |
| 1679084404 | Lindsay Queen | Dietitian, Registered | 1 Medical Park Dr, Benton, AR 72015-3353 | 2017-10-19 |
| 1730550195 | Lori Henry | Dietitian, Registered | 267 Slickback Rd, Benton, KY 42025-7629 | 2015-10-12 |
| 1609253343 | Janet Porter | Dietitian, Registered | 201 Bailey Ln, Benton, IL 62812-1969 | 2015-05-01 |
| 1275958761 | Layne Elizabeth Adams | Dietitian, Registered | 1000 Hwy 35 N, Suite 9, Benton, AR 72019-2351 | 2014-02-20 |
| 1184964165 | Lisa M Bowman | Dietitian, Registered | 1 Medical Park Dr, Benton, AR 72015-3353 | 2013-02-27 |
| 1962742023 | Courtney Tackett Fose | Dietitian, Registered | 1 Medical Park Dr, Benton, AR 72015-3353 | 2013-02-26 |
| Find all providers in BENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.