Miranda Redding, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2170 Issued in AR

Practice address

23378 W Highway 12
Gentry, AR 72734-9065

Phone

(501) 213-7265

NPI assigned

Sep 25, 2023

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1528847076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23378 W HIGHWAY 12",
            "city": "GENTRY",
            "state": "AR",
            "postal_code": "727349065",
            "telephone_number": "501-213-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23378 W HIGHWAY 12",
            "city": "GENTRY",
            "state": "AR",
            "postal_code": "727349065",
            "telephone_number": "501-213-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDING",
        "first_name": "MIRANDA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "2170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Nielsen
• Kelly Leann Page, CCC-SLP
• PPG Store 2 LLC (Cornerstone Pharmacy Gentry)
• Premise Health of Arkansas Medical P a (McKee Foods Family Health Center Gentry)
• Casey Prince
• Kindal Dawn Reynolds, APRN
• Amanda Leeann Roberson, MA CF-SLP
• Smith Drug
• Smith Drug PLLC
• Emily Smith, PHARMD

• Registered Dietitian in Gentry, AR
• Providers in Gentry, AR by specialty
• Registered Dietitian in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.