Active NPI
Alicia Meredith, RD
- Registered Dietitian
- Benton, AR
National Provider Identifier
1386854883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 857
- Practice address
- 3 Medical Park Dr Ste 200
Benton, AR 72015-3725 - Phone
- (501) 776-6670
- NPI assigned
- May 23, 2007
- 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 | 857 | AR | Primary |
Addresses
Primary practice location
3 Medical Park Dr Ste 200
Benton, AR 72015-3725
Mailing address
3025 Highway 5 N Lot 111
Benton, AR 72015-6644
Phone (501) 847-9523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235111071 | Other | AR | HOSPITAL NPI NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 857 | AR | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386854883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 HIGHWAY 5 N LOT 111",
"city": "BENTON",
"state": "AR",
"postal_code": "720156644",
"telephone_number": "501-847-9523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MEDICAL PARK DR STE 200",
"city": "BENTON",
"state": "AR",
"postal_code": "720153725",
"telephone_number": "501-776-6670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREDITH",
"first_name": "ALICIA",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOSPITAL NPI NUMBER",
"identifier": "1235111071",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.