Individual provider Active NPI

Susan R. Melhorn, RD, LD

  • Registered Dietitian
  • Little Rock, AR
National Provider Identifier
1356762827
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86028231 Issued in AR
Practice address
4208 N Rodney Parham Rd
Little Rock, AR 72212-2462
Phone
(501) 228-7200
Fax
(501) 228-2285
NPI assigned
Dec 30, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86028231 AR Primary

Addresses

Primary practice location

4208 N Rodney Parham Rd
Little Rock, AR 72212-2462

Mailing address

PO Box 15056
Little Rock, AR 72231-5056
Phone (501) 224-1690

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1672ARMDChiropractor
86028231ARMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Family Care Network PastSince Sep 1, 2017 Accepting new patients
Physicians Network Inc Dba Cabot Medical Clinic Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356762827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15056",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722315056",
            "telephone_number": "501-224-1690",
            "fax_number": "501-224-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 N RODNEY PARHAM RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122462",
            "telephone_number": "501-228-7200",
            "fax_number": "501-228-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELHORN",
        "first_name": "SUSAN",
        "middle_name": "R.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "86028231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.