Ellen Corinne Deorbegozo, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86173908 Issued in AR

Practice address

10915 N Rodney Parham Rd Ste G
Little Rock, AR 72212-4114

Phone

(501) 202-4294

Fax

(501) 202-4299

NPI assigned

Dec 10, 2020

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Zipongo Health Provider Group P.a.

  • Obesity and Weight Management Nutrition Registered Dietitian
  • San Francisco, CA
  • NPI 1972146694

  TX

  Medicare reassignment NPD
• Mobile Medical Consultants, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1346839859
  NPD (past)

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1326644683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "501-812-7215",
            "fax_number": "501-812-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 N RODNEY PARHAM RD STE G",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124114",
            "telephone_number": "501-202-4294",
            "fax_number": "501-202-4299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7301 Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729034100",
            "country_code": "US",
            "telephone_number": "479-314-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEORBEGOZO",
        "first_name": "ELLEN",
        "middle_name": "CORINNE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "86173908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaliyah Monet Dent, PHARMD
• Royale Dent
• Dental Care Associates of Arkansas
• Dentalways of Little Rock PLLC
• Edward Denton
• Loretta Depalo, M.D.
• Department of Health and Human Services
• Department of Health and Human Services
• Department of Health and Human Services
• Department of Health and Human Services

• Registered Dietitian in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Registered Dietitian in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.