NITI PURI


Address: 7 Shackleford West Blvd, Little Rock, AR 72211-3886
Phone: 5016645860

NITI PURI (NPI# 1801309497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801309497
Entity Type Individual
Full Name NITI PURI
Credential RD
Practice Address 7 Shackleford West Blvd
Little Rock
AR 72211-3886
Practice Telephone 5016645860
Practice Fax Number 5016640889
Mailing Telephone 5016645860
Mailing Fax Number 5016640889
Enumeration Date 2017-11-06
Last Update Date 2017-11-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 1689 AR Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR DIETETIC LICENSING BOARD 1689 01

Office Location

Street Address 7 SHACKLEFORD WEST BLVD
City LITTLE ROCK
State AR
Zip Code 72211-3886

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861485302 Scott L Beau Internal Medicine 7 Shackleford West Blvd, Little Rock, AR 72211 2005-08-30
1801411285 Allyson D Carroll Dietitian, Registered 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2020-06-11
1104476720 Abigail Grace Connerly Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-09-16
1013560655 Angela Denise Cheves Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-07-23
1922565233 Crystal E Meziere Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-02-22
1134685217 Felicia Mae Johnson Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-02-14
1588132948 Lauren Elizabeth Mcbride Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-11-05
1144705047 Cassandra Love Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-09-27
1457832842 Marissa Boggs Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-08-24
1568955441 Jared H Umland Physician Assistant 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760004618 Samantha Lenore Hilborn Behavior Technician 1525 Merrill Drive Suite 100, Little Rock, AR 72211 2020-05-14
1003437740 Centers for Youth and Families, Inc. Community/Behavioral Health 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 2020-05-05
1962040568 Erica N Taylor Nurse Practitioner 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 2019-12-13
1568932119 Katie Jones Nurse Practitioner 1children's Way, Little Rock, AR 72211 2018-11-27
1356828651 Kayleigh King Dietitian, Registered 4 Shackleford Plz Ste 209, Little Rock, AR 72211 2018-07-19
1699283838 Kara Elizabeth Simmons Physician Assistant 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 2018-01-22
1194241463 Wendy Newsam Pllc Counselor 1 Innwood Circle, Suite 107, Little Rock, AR 72211 2017-08-18
1861915159 Sarah Renee Beall Counselor 10800 Financial Centre #290, Little Rock, AR 72211 2017-07-19
1457873127 Restore Hope Counseling Center, Pllc Counselor One Innwood Circle, Suite 201, Little Rock, AR 72211 2017-07-13
1447707500 University of Arkansas for Medical Sciences Durable Medical Equipment & Medical Supplies 601 Autumn Road, Little Rock, AR 72211 2016-09-07
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1427679075 Christina Kilton Dietitian, Registered 13400 Abinger Dr, Little Rock, AR 72212-3704 2020-05-05
1386286540 Tatiana I Leakey Dietitian, Registered 4817 Lafayette Ave, Little Rock, AR 72205-3722 2019-10-09
1356828651 Kayleigh King Dietitian, Registered 4 Shackleford Plz Ste 209, Little Rock, AR 72211 2018-07-19
1477049237 Elizabeth Page Hawley Dietitian, Registered 17 Emerald Ct, Little Rock, AR 72212-2106 2018-07-05
1447740220 Carly Nicole Davis Dietitian, Registered 414 E Capitol Ave Apt 313, Little Rock, AR 72202-2478 2018-05-16
1114423902 Kirstine Olivia Talbert Dietitian, Registered 14 Eds Ln, Little Rock, AR 72223-3501 2018-04-02
1639671993 Amanda Hines Dietitian, Registered 16000 Rushmore Ave Apt 6206, Little Rock, AR 72223-7021 2018-03-02
1780196998 Vanessa Roberson Dietitian, Registered 5608 C St, Little Rock, AR 72205-3314 2017-10-27
Find all providers in LITTLE ROCK

Competitor

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City LITTLE ROCK
Zip Code 72211

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Dataset Information

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.

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