Active NPI
Brenda Green, RDN
- Registered Dietitian
- Little Rock, AR
National Provider Identifier
1477926525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1536
- Practice address
- 3920 Woodland Heights Rd
Little Rock, AR 72212-2495 - Phone
- (501) 219-4002
- Fax
- (501) 219-4006
- NPI assigned
- Nov 10, 2015
- 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 | 1536 | AR | Primary |
Addresses
Primary practice location
3920 Woodland Heights Rd
Little Rock, AR 72212-2495
Mailing address
410 Oakmont
Alexander, AR 72002-8537
Phone (501) 847-8670
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 |
|---|---|---|---|
| 1536 | AR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1477926525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 OAKMONT",
"city": "ALEXANDER",
"state": "AR",
"postal_code": "720028537",
"telephone_number": "501-847-8670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 WOODLAND HEIGHTS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722122495",
"telephone_number": "501-219-4002",
"fax_number": "501-219-4006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "BRENDA",
"name_prefix": "Ms.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-10",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "1536",
"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 Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.