Active NPI
Molly Williams, RDN/CSP/LD
- Pediatric Nutrition Registered Dietitian
- Maumelle, AR
National Provider Identifier
1508346644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- 2024
- Practice address
- 9300 Counts Massie Rd
Maumelle, AR 72113-7748 - Phone
- (501) 712-0301
- NPI assigned
- Aug 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | DT85506 | TX | |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 2024 | AR | Primary |
Addresses
Primary practice location
9300 Counts Massie Rd
Maumelle, AR 72113-7748
Mailing address
820 Parkway Place Dr
Little Rock, AR 72211-3116
Phone (501) 712-0301
Other practice location 1
1935 Medical District Dr
Dallas, TX 75235-7701
Phone (844) 424-4537
Other practice location 2
3400 S Bowman Rd Apt 810
Little Rock, AR 72211-4657
Phone (318) 210-7901
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 |
|---|---|---|---|
| DT85506 | TX | MD | Pediatric Nutrition Registered Dietitian |
| 2024 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1508346644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 PARKWAY PLACE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722113116",
"telephone_number": "501-712-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 COUNTS MASSIE RD",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721137748",
"telephone_number": "501-712-0301"
}
],
"practiceLocations": [
{
"address_1": "1935 Medical District Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357701",
"country_code": "US",
"telephone_number": "844-424-4537",
"fax_number": "214-456-6287",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 S Bowman Rd Apt 810",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722114657",
"country_code": "US",
"telephone_number": "318-210-7901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MOLLY",
"credential": "RDN/CSP/LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-17",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "TX",
"license": "DT85506",
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "AR",
"license": "2024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumelle, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.