Kindann McMahan Stone Fawcett, PH.D., RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2244 Issued in AR

Practice address

305 E Main St
Cabot, AR 72023-3034

Phone

(501) 605-0310

Fax

(501) 605-0325

NPI assigned

May 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1588302327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233034",
            "telephone_number": "501-605-0310",
            "fax_number": "501-605-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233034",
            "telephone_number": "501-605-0310",
            "fax_number": "501-605-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWCETT",
        "first_name": "KINDANN",
        "middle_name": "MCMAHAN STONE",
        "name_prefix": "Dr.",
        "credential": "PH.D., RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "011976-01",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "2919",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87888",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "2244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6K3543",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kindann@thedietitiandoctor.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant Email- Password protected and authenticated",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Word, excel, lab",
            "address_1": "305 E Main St",
            "city": "Cabot",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720233034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anthony@thedietitiandoctor.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant email- Password protected and 2 step verified and identified",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Emails, Invoices, Labs, payment and insurance verification and benefits",
            "address_1": "305 E Main St",
            "city": "Cabot",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720233034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Glenda Sue Eversole, LCSW
• Helen Patricia Ewer, CRNA
• Keith S Ewer, CRNA
• Excel Health of Cabot LLC
• Vanessa Falcinelli, M.S., CCC-SLP
• Kayle Feather, LMSW
• Devin Featherston
• Maritza Feliciano Rodriguez
• Ashley L Fields, D.D.S.
• Patrick D Fields, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.