DR. DETRI M. BRECH (NPI# 1548411994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548411994 |
| Entity Type | Individual |
| Full Name | DR. DETRI M. BRECH |
| Credential | PHD, RD, LD, CDE |
| Practice Address |
117 Pinnacle Dr Arkadelphia AR 71923-3618 |
| Practice Telephone | 8702469275 |
| Mailing Telephone | 8702469275 |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 698613 | AR | Dietary & Nutritional Service Providers |
| Street Address |
117 PINNACLE DR |
| City | ARKADELPHIA |
| State | AR |
| Zip Code | 71923-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
| 1528478955 | Baptist Health | Clinic/Center | 10 Montgomery Drive, Caddo Valley, AR 71923 | 2014-05-07 |
| 1770923724 | Amber Dawn Jones | Nurse Practitioner | 10 Montgomery Dr, Caddo Valley, AR 71923 | 2013-07-04 |
| 1699050872 | Timothy R Phelan | Pharmacist | 131 N 26 St, Walgreens, Arkadelphia, AR 71923 | 2011-10-19 |
| 1083924229 | Misty Cox | Health Educator | 2410 Pine Street, Arkadelphia, AR 71923 | 2010-10-20 |
| 1942433677 | James W. Hankins, D.d.s., P.a. | Dentist | 2840 Twin Rivers Dr., Arkadelphia, AR 71923 | 2009-08-28 |
| 1003027061 | William Coke Viser | Counselor | 94 Pinnacle Drive, Arkadelphia, AR 71923 | 2007-05-24 |
| 1184843773 | Renski Davis-buckley | Case Manager/Care Coordinator | 524 N. Clark, Arkadelphia, AR 71923 | 2007-04-24 |
| 1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
| 1003945734 | Danita Stubbs | Case Manager/Care Coordinator | 2607 Caddo Street, Arkadelphia, AR 71923 | 2007-03-06 |
| Find all providers in zip 71923 | ||||
| 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 |
|---|---|---|---|---|
| 1568499523 | Holly Leigh Kyzer | Dietitian, Registered | Baptist Health Medical Center-arkadelphia, 3050 Twin Rivers Dr., Arkadelphia, AR 71923 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1639776883 | Gail Lange-smith | Dietitian, Registered | 805 Beechwood St Apt 3, Little Rock, AR 72205-1974 | 2020-10-01 |
| 1760099238 | Emily Keeling | Dietitian, Registered | 1238 N Vista Pl, Fayetteville, AR 72703-1352 | 2020-09-28 |
| 1033726922 | Alicia Landry | Dietitian, Registered | 201 Donaghey Ave, Mcalister 100, Conway, AR 72035 | 2020-09-25 |
| 1568076792 | Sarah Keathley | Dietitian, Registered | 30 Sugar Creek Rd, North Little Rock, AR 72116-6332 | 2020-09-04 |
| 1003427873 | Midsouth Transitions Arkansas Pa | Dietitian, Registered | 6010 Trinity Hts, Texarkana, AR 71854-8318 | 2020-08-13 |
| 1386267748 | Allison Kreimeier | Dietitian, Registered | 8713 Melkovitz Rd, Hazen, AR 72064-9585 | 2020-05-20 |
| 1427679075 | Christina Kilton | Dietitian, Registered | 13400 Abinger Dr, Little Rock, AR 72212-3704 | 2020-05-05 |
| 1801417696 | Sarah Elizabeth Johnston | Dietitian, Registered | 306 Kimsey Loop, Malvern, AR 72104-8678 | 2020-05-03 |
| 1407476245 | Brooke Ann Erickson | Dietitian, Registered | 3719 Lakeshore Dr, North Little Rock, AR 72116-9032 | 2020-04-22 |
| Find all providers with the same taxonomy | ||||
| City | ARKADELPHIA |
| Zip Code | 71923 |
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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.