Active NPI
Madeline Luke Kimbrell, RDN, LD
- Registered Dietitian
- North Little Rock, AR
National Provider Identifier
1003671082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2311
- Practice address
- 4917 Glenmere Rd
North Little Rock, AR 72116-6807 - Phone
- (501) 554-6932
- NPI assigned
- Feb 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2311 | AR | Primary |
Addresses
Primary practice location
4917 Glenmere Rd
North Little Rock, AR 72116-6807
Mailing address
4917 Glenmere Rd
North Little Rock, AR 72116-6807
Phone (501) 554-6932
Other names 1
- Madeline Luke Lancaster
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2311 | AR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1003671082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4917 GLENMERE RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721166807",
"telephone_number": "501-554-6932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4917 GLENMERE RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721166807",
"telephone_number": "501-554-6932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBRELL",
"first_name": "MADELINE",
"middle_name": "LUKE",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "2311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADELINE",
"last_name": "LANCASTER",
"middle_name": "LUKE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.