Active NPI
Elizabeth Michele Hogan, R.D.
- Registered Dietitian
- Morrilton, AR
National Provider Identifier
1306130992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1057
- Practice address
- 113 Rock Creek Rd
Morrilton, AR 72110-1556 - Phone
- (479) 970-3823
- NPI assigned
- Jun 1, 2011
- 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 | 1057 | AR | Primary |
Addresses
Primary practice location
113 Rock Creek Rd
Morrilton, AR 72110-1556
Mailing address
113 Rock Creek Drive
Morrilton, AR 72110
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 |
|---|---|---|---|
| 1057 | AR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1306130992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 ROCK CREEK DRIVE",
"city": "MORRILTON",
"state": "AR",
"postal_code": "72110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 ROCK CREEK RD",
"city": "MORRILTON",
"state": "AR",
"postal_code": "721101556",
"telephone_number": "479-970-3823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "ELIZABETH",
"middle_name": "MICHELE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-01",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "1057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morrilton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.