Individual provider Active NPI

Amy Qualls, PHD, RD

  • Registered Dietitian
  • Searcy, AR
National Provider Identifier
1427867795
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86390894
Practice address
100 E Pleasure Ave Ste 4
Searcy, AR 72143-7710
Phone
(870) 834-2611
NPI assigned
Jan 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2699 AR
Registered Dietitian 133V00000X 86390894 Primary

Addresses

Primary practice location

100 E Pleasure Ave Ste 4
Searcy, AR 72143-7710

Mailing address

404 N Spruce St
Searcy, AR 72143-4231
Phone (501) 238-0267

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205002464 AR Practitioner - Registered Dietitian Or Nutrition Professional 0840720918 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2699ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Qualls Registered Dietitian Nutritionist Dietitian, Registered CurrentSince Jul 1, 2025 Accepting new patients

Locations

404 N Spruce St
Searcy, AR 72143

100 E Pleasure Ave
Searcy, AR 72143
Phone (501) 236-0108

100 E Pleasure Ave
Ste 4
Searcy, AR 72143
Phone (870) 834-2611

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": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1427867795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N SPRUCE ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434231",
            "telephone_number": "501-238-0267",
            "fax_number": "844-990-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E PLEASURE AVE STE 4",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437710",
            "telephone_number": "870-834-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "AMY",
        "credential": "PHD, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "2699",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86390894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.