Active NPI
Patricia Cronin Abraham, RD
- Registered Dietitian
- Jonesboro, AR
National Provider Identifier
1255765459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1264
- Practice address
- 311 S Church St
Suite C
Jonesboro, AR 72401-2913 - Phone
- (870) 897-2791
- NPI assigned
- Aug 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1264 | AR | Primary |
Addresses
Primary practice location
311 S Church St
Suite C
Jonesboro, AR 72401-2913
Mailing address
2202 Spring Creek Cir
Jonesboro, AR 72404-8051
Phone (870) 897-2791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1264 | AR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377388800000",
"number": "1255765459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 SPRING CREEK CIR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724048051",
"telephone_number": "870-897-2791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 S CHURCH ST",
"address_2": "SUITE C",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724012913",
"telephone_number": "870-897-2791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "PATRICIA",
"middle_name": "CRONIN",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-25",
"last_updated": "2013-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "1264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.