Active NPI
Alicia Landry, PHD, RDN, LDN
- Registered Dietitian
- Conway, AR
National Provider Identifier
1033726922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1938
- Practice address
- 201 Donaghey Ave,
McAlister 100
Conway, AR 72035 - Phone
- (501) 852-0230
- NPI assigned
- Sep 25, 2020
- 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 | 1938 | AR | Primary |
Addresses
Primary practice location
201 Donaghey Ave,
McAlister 100
Conway, AR 72035
Mailing address
201 Donaghey Ave,
McAlister 100
Conway, AR 72035
Phone (501) 852-0230
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1938 | AR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1033726922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 DONAGHEY AVE,",
"address_2": "MCALISTER 100",
"city": "CONWAY",
"state": "AR",
"postal_code": "72035",
"telephone_number": "501-852-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 DONAGHEY AVE,",
"address_2": "MCALISTER 100",
"city": "CONWAY",
"state": "AR",
"postal_code": "72035",
"telephone_number": "501-852-0230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "ALICIA",
"name_prefix": "Dr.",
"credential": "PHD, RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "1938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.