Individual provider Active NPI

Pamela Laney, MS, RD, LD, CDE

  • Registered Dietitian
  • Rogers, AR
National Provider Identifier
1386156628
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0156 Issued in AR
Practice address
3333 S Pinnacle Hills Pkwy Ste 300B
Rogers, AR 72758-9000
Phone
(479) 338-6085
Fax
(479) 338-4607
NPI assigned
Oct 26, 2017
Last updated
Oct 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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 0156 AR Primary

Addresses

Primary practice location

3333 S Pinnacle Hills Pkwy Ste 300B
Rogers, AR 72758-9000

Mailing address

3333 S Pinnacle Hills Pkwy Ste 300B
Rogers, AR 72758-9000
Phone (479) 338-6085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180611002082 AR Practitioner - Registered Dietitian Or Nutrition Professional 6406101781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3333 S Pinnacle Hills Pkwy
Suite 300B
Rogers, AR 72758-9000
Phone (479) 338-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Apr 29, 2018 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Apr 29, 2018 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

3333 S Pinnacle Hills Pkwy
Ste 300B
Rogers, AR 72758
Phone (479) 338-4600

Interoperability endpoints

  • Direct secure messaging: planey19771@directc.mercy.net

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": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1386156628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S PINNACLE HILLS PKWY STE 300B",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727589000",
            "telephone_number": "479-338-6085",
            "fax_number": "479-338-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S PINNACLE HILLS PKWY STE 300B",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727589000",
            "telephone_number": "479-338-6085",
            "fax_number": "479-338-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANEY",
        "first_name": "PAMELA",
        "credential": "MS, RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "0156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.