Individual provider Active NPI

Natalie Bules, RD, LD

  • Registered Dietitian
  • Fayetteville, AR
National Provider Identifier
1073082053
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1464 Issued in AR
Practice address
688 E Millsap Rd Ste 100
Fayetteville, AR 72703-3930
Phone
(479) 463-3070
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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 1464 AR Primary

Addresses

Primary practice location

688 E Millsap Rd Ste 100
Fayetteville, AR 72703-3930

Mailing address

2350 S Ed Edwards Rd
Fayetteville, AR 72701-0761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190212002254 AR Practitioner - Registered Dietitian Or Nutrition Professional 7911245220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

813 Founders Park Dr E
203 Renal Specialists of Northwest Arkansas
Springdale, AR 72762-6314
Phone (479) 463-2440

813 Founders Park Dr E
Suite 101
Springdale, AR 72762-6321
Phone (479) 463-2333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1464ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System CurrentSince Dec 19, 2018 Accepting new patients
Washington Regional Medical System Current Accepting new patients
Washington Regional Medical System CurrentSince Dec 19, 2018 Accepting new patients

Locations

688 E Millsap Rd
Ste 100
Fayetteville, AR 72703
Phone (479) 463-3070

114 E Sunbridge Dr
#J
Fayetteville, AR 72703
Phone (479) 463-2597

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": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1073082053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 S ED EDWARDS RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727010761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 E MILLSAP RD STE 100",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033930",
            "telephone_number": "479-463-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULES",
        "first_name": "NATALIE",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.