Molly Ann Romero, MS. RDN, LDN, CSOWM

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1917 Issued in AR

Practice address

9300 White Oak Crossing
North Little Rock, AR 72113-6377

Phone

(501) 777-8120

Fax

(501) 229-6070

NPI assigned

Dec 16, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Molly Ann Bowdon Former name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1104281294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 WHITE OAK CROSSING",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136377",
            "telephone_number": "501-777-8120",
            "fax_number": "501-229-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 WHITE OAK CROSSING",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721136377",
            "telephone_number": "501-777-8120",
            "fax_number": "501-229-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "MOLLY",
        "middle_name": "ANN",
        "credential": "MS. RDN, LDN, CSOWM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "1087167",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "7930",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS DIETETIC LICENSING BOARD",
            "identifier": "1917",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED DIABETES CARE AND EDUCATION SPECIALIST",
            "identifier": "32300613",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "BOWDON",
            "middle_name": "ANN",
            "credential": "MS, LDN,  RDN, CDCES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelby Lynn Rogers, COTA
• Weston Douglas Rogers
• Cody Rogoff, PHARMD
• Ariel Elizabeth Rohde, PA
• Caleb Rohde, PT, DPT
• Paula Romero
• Veronica Romes
• Ronald F Boyles OD PA
• Ronald F. Boyles O.D., P.a.
• Derek David Rooker, DNP, APRN, FNP-BC

• Registered Dietitian in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Registered Dietitian in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.