Phyllis Ann Carr, RD, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

765 Issued in AR

Practice address

Baptist Health Medical Center-Heber Springs
2319 Highway 110 West
Heber Springs, AR 72543

Phone

(501) 206-3257

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Baptist Health Imaging Center - Highway 10 LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Little Rock, AR
  • NPI 1326083973
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124055728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HIGHWAY 287",
            "city": "CLEVELAND",
            "state": "AR",
            "postal_code": "720309555",
            "telephone_number": "501-669-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAPTIST HEALTH MEDICAL CENTER-HEBER SPRINGS",
            "address_2": "2319 HIGHWAY 110 WEST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "72543",
            "telephone_number": "501-206-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "PHYLLIS",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNT PROVIDER",
            "identifier": "5X263",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan P Buffalo, M.D.
• Tiffanie Bufford, PLPE
• Callie Bundy
• Stephen Burger, LPC
• Marty Wayne Cannon, PHARM D
• Heather Anne Carroll, OT
• Cary Brent Carter, LCSW
• Martha R. Carter, O.T.
• Forrest Gregory Carvajal, COTA
• Rachel Caroline Casebolt, LPC

• All providers in Heber Springs, AR
• Registered Dietitian in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.