Individual provider Active NPI

Courtney Sutterfield, RD/RDN

  • Registered Dietitian
  • Benton, AR
National Provider Identifier
1053868240
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1359 Issued in AR
Practice address
1901 Encore Way
Bryant, AR 72019-8896
Phone
(501) 213-4500
Fax
(501) 686-8586
NPI assigned
Sep 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1359 AR Primary

Addresses

Primary practice location

1901 Encore Way
Bryant, AR 72019-8896

Mailing address

7909 S Shoreline Blvd
Benton, AR 72019-8795
Phone (501) 590-7823

Other practice location 1

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 2

7909 S Shoreline Blvd
Benton, AR 72019-8795
Phone (501) 590-7823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190402000730 AR Practitioner - Registered Dietitian Or Nutrition Professional 4385985365 Reassigns benefits to 2 organizations
I20220805000877 TX Practitioner - Registered Dietitian Or Nutrition Professional 4385985365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Heart Hospital Rural Health Services, LLCGroup PAC ID 6204004815, 52 clinicians

Practice addresses (Care Compare)

3930 Galleria Oaks Dr
Texarkana, TX 75503-4670
Phone (501) 664-5860

7 Shackleford W Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Heart Hospital Rural Health Services, LLC CurrentSince Feb 18, 2019 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Feb 18, 2019 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Feb 18, 2019 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

3930 Galleria Oaks Dr
Texarkana, TX 75503
Phone (903) 306-3484

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1053868240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 S SHORELINE BLVD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720198795",
            "telephone_number": "501-590-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 ENCORE WAY",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720198896",
            "telephone_number": "501-213-4500",
            "fax_number": "501-686-8586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 783",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7909 S Shoreline Blvd",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720198795",
            "country_code": "US",
            "telephone_number": "501-590-7823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTERFIELD",
        "first_name": "COURTNEY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "RD/RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.

Verify at the official NPI Registry.