NPIMap

Organization Active NPI

New Directions Physician Weight Loss

  • Registered Dietitian
  • Rogers, AR
National Provider Identifier
1275801508
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0543 Issued in AR
Legal business name
NEW DIRECTIONS PHYSICIAN WEIGHT LOSS
Practice address
5501 Pinnacle PT Dr
Rogers, AR 72758-8131
Phone
(479) 268-6404
Fax
(479) 657-6315
NPI assigned
Dec 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Mrs. Casey Ann Sams, R.D.
Title
Program Coordinator
Phone
(479) 268-6404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 0543 AR Primary

Addresses

Primary practice location

5501 Pinnacle PT Dr
Rogers, AR 72758-8131

Mailing address

5501 Pinnacle PT Dr
Rogers, AR 72758-8131
Phone (479) 268-6404

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7618/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1275801508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 PINNACLE PT DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588131",
            "telephone_number": "479-268-6404",
            "fax_number": "479-657-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 PINNACLE PT DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588131",
            "telephone_number": "479-268-6404",
            "fax_number": "479-657-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTIONS PHYSICIAN WEIGHT LOSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "SAMS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "479-268-6404",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "0543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.