Individual provider Active NPI

Charity Ashworth, R.D.

  • Registered Dietitian
  • Conway, AR
National Provider Identifier
1154627800
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
700 Salem Rd
Conway, AR 72034-4818
Phone
(479) 461-4363
NPI assigned
Jan 28, 2011
Last updated
Aug 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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 NU Primary

Addresses

Primary practice location

700 Salem Rd
Conway, AR 72034-4818

Mailing address

6 S. Hampton Cover
Conway, AR 72034
Phone (479) 461-4363

Other identifiers 1

IdentifierTypeStateIssuer
1154627800MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX, AZ, DC, IA, GA, NJ, WA, FL9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20151204000043 AR Practitioner - Registered Dietitian Or Nutrition Professional 7719287317 Reassigns benefits to 1 organization
I20250313003111 TX Practitioner - Registered Dietitian Or Nutrition Professional 7719287317 Reassigns benefits to 2 organizations
I20250416000621 AZ Practitioner - Registered Dietitian Or Nutrition Professional 7719287317 Reassigns benefits to 3 organizations
I20250515002314 DC Practitioner - Registered Dietitian Or Nutrition Professional 7719287317 Reassigns benefits to 1 organization
I20250618002024 IA Practitioner - Registered Dietitian Or Nutrition Professional 7719287317 Reassigns benefits to 1 organization
I20250630003623 GA Practitioner - Registered Dietitian Or Nutrition Professional 7719287317 Reassigns benefits to 2 organizations
I20250911002354 NJ Practitioner - Registered Dietitian Or Nutrition Professional 7719287317 Reassigns benefits to 1 organization
I20251125004979 WA Practitioner - Registered Dietitian Or Nutrition Professional 7719287317 Reassigns benefits to 1 organization
I20251202003504 FL Practitioner - Registered Dietitian Or Nutrition Professional 7719287317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surely Health IncGroup PAC ID 3072960491, 47 clinicians

Practice addresses (Care Compare)

130 E Congress St
Suite 200 139
Tucson, AZ 85701-1708
Phone (724) 307-5926

3480 Preston Ridge Rd
Suite 500
Alpharetta, GA 30005-5460
Phone (412) 287-4983

6565 N Macarthur Blvd
Suite 225
Irving, TX 75039-2482
Phone (888) 807-4117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1244ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Surely Health, Inc. Dietitian, Registered CurrentSince Jan 4, 2025 Accepting new patients
Uhling Consulting, LLC Dietitian, Registered CurrentSince Feb 15, 2025 Accepting new patients
Season Clinical Care P.a. Dietitian, Registered CurrentSince Jan 4, 2025 Accepting new patients
Season Clinical Care NJ PC Dietitian, Registered CurrentSince Jun 29, 2025 Accepting new patients
National Cardiovascular Associates, LLC Past Accepting new patients

Locations

1202 NE McClain Rd
Bentonville, AR 72712
Phone (855) 632-6940

20325 N 51st Ave
Ste 126
Glendale, AZ 85308
Phone (602) 341-5248

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926

130 E Congress St
Ste 213
Tucson, AZ 85701

6303 Waterford District Dr
Ste 400
Miami, FL 33126
Phone (786) 801-1571

3480 Preston Ridge Rd
Ste 500
Alpharetta, GA 30005
Phone (412) 287-4983

1120 Depot Ln SE
Ste 100
Cedar Rapids, IA 52401
Phone (319) 237-3193

1719 Highway 10
Parsippany, NJ 07054

1719 Highway 10
Ste 300
Parsippany, NJ 07054

6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (469) 395-8402

1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364

2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423

3600 136th Pl SE
Bellevue, WA 98006

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19691/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1154627800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S. HAMPTON COVER",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "479-461-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SALEM RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344818",
            "telephone_number": "479-461-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHWORTH",
        "first_name": "CHARITY",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154627800",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.