Hannah Grace Neago, MS, RDN, LD, IBCLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1975 Issued in AR

Practice address

2211 Main Dr
Fayetteville, AR 72704-5292

Phone

(479) 485-1215

Fax

(833) 605-1102

NPI assigned

Nov 11, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Atkins Property Management

  • Lactation Consultant (Non-RN)
  • Fayetteville, AR
  • NPI 1528675238

  Lactation Consultant, Non-RN

  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1033711494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MAIN DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045292",
            "telephone_number": "479-485-1215",
            "fax_number": "833-605-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MAIN DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045292",
            "telephone_number": "479-485-1215",
            "fax_number": "833-605-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAGO",
        "first_name": "HANNAH",
        "middle_name": "GRACE",
        "credential": "MS, RDN, LD, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natural State Aesthetics PLLC
• Natural State Healing Arts, Inc.
• Bethany Rhea Nay
• Yves-Mary Nazaire, M.D.
• Salik Nazir, M.D.
• Katherine Neal, LCSW
• Nicol R Neal, SLP
• Parrish Neal, BCBA
• Emily Ruth Nelson, ATC
• Haley Nelson, DO

• Registered Dietitian in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Registered Dietitian in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.