Active NPI
Courtney Byrum, MS, RD, LD
- Registered Dietitian
- Little Rock, AR
National Provider Identifier
1023426327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1510
- Practice address
- 4 Shackleford PLZ Ste 209
Little Rock, AR 72211-1844 - Phone
- (501) 779-8327
- Fax
- (501) 500-5750
- NPI assigned
- Jul 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 1510 | AR | Primary |
Addresses
Primary practice location
4 Shackleford PLZ Ste 209
Little Rock, AR 72211-1844
Mailing address
4 Shackleford PLZ Ste 209
Little Rock, AR 72211-1844
Phone (501) 779-8327
Other names 1
- Courtney Condren
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211220002363 | AR | Practitioner - Registered Dietitian Or Nutrition Professional | 2769873124 | Practice locations: Little Rock, AR |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4 Shackleford PLZ
Suite 209
Little Rock, AR 72211-1844
Phone (501) 779-8327
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Condren Family Nutrition | Dietitian, Registered | Current | Accepting new patients |
| Courtney Byrum Rd LLC | Dietitian, Registered | Current | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
10020 N Rodney Parham Rd
Ste F
Little Rock, AR 72227
Phone (501) 779-8327
4 Shackleford Plz
Ste 209
Little Rock, AR 72211
Phone (501) 779-8327
Organizations & group practices 3
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": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1023426327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SHACKLEFORD PLZ STE 209",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722111844",
"telephone_number": "501-779-8327",
"fax_number": "501-500-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SHACKLEFORD PLZ STE 209",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722111844",
"telephone_number": "501-779-8327",
"fax_number": "501-500-5750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRUM",
"first_name": "COURTNEY",
"name_prefix": "Mrs.",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-30",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "1510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "CONDREN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.