Active NPI
Susan R. Melhorn, RD, LD
- Registered Dietitian
- Little Rock, AR
National Provider Identifier
1356762827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86028231
- 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, 2022
- Sex
- Female
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1672 | AR | MD | Chiropractor |
| 86028231 | AR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Family Care Network | Past | 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.
-
dba Little Rock Family Practice - Central
- Family Medicine Physician
- Little Rock, AR
- NPI 1336396407
-
dba Cabot Medical Clinic
- Family Medicine Physician
- Cabot, AR
- NPI 1629032289
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.