Individual provider Active NPI

Cristi Mitchell

  • Registered Dietitian
  • Little Rock, AR
National Provider Identifier
1114390143
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
124 N Spruce St
Little Rock, AR 72205-3835
Phone
(870) 253-6299
NPI assigned
Nov 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 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 Primary

Addresses

Primary practice location

124 N Spruce St
Little Rock, AR 72205-3835

Mailing address

172 Grizzell LN
Monticello, AR 71655-5824

Other practice location 1

535 Jordan Dr
Monticello, AR 71655-5714
Phone (870) 355-2512

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180911003479 AR Practitioner - Registered Dietitian Or Nutrition Professional 1759631856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1553ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mainline Health Systems, Inc CurrentSince Jul 14, 2025 Accepting new patients
Mainline Health Systems, Inc CurrentSince Jul 14, 2025 Accepting new patients

Locations

579 E Beouff St
Eudora, AR 71640
Phone (870) 355-2512

535 Jordan Dr
Monticello, AR 71655
Phone (870) 367-6246

110 N Drew St
Star City, AR 71667
Phone (870) 628-5110

Organizations & group practices 2

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": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1114390143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 GRIZZELL LN",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N SPRUCE ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053835",
            "telephone_number": "870-253-6299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Jordan Dr",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "AR",
            "postal_code": "716555714",
            "country_code": "US",
            "telephone_number": "870-355-2512",
            "fax_number": "855-754-0598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CRISTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.