Active NPI
Timothy Steen, MS, RDN, LDN
- Registered Dietitian
- Bentonville, AR
National Provider Identifier
1356101489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1906
- Practice address
- 700 SE Plaza Ave
Bentonville, AR 72712-3003 - Phone
- (479) 715-4645
- NPI assigned
- Mar 19, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 1906 | AR | Primary |
Addresses
Primary practice location
700 SE Plaza Ave
Bentonville, AR 72712-3003
Mailing address
1229 N Eastwood Dr
Fayetteville, AR 72701-2323
Phone (918) 314-5335
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1906 | AR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1356101489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 N EASTWOOD DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727012323",
"telephone_number": "918-314-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SE PLAZA AVE",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123003",
"telephone_number": "479-715-4645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEEN",
"first_name": "TIMOTHY",
"credential": "MS, RDN, LDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "1906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.