Active NPI
Ashleigh Elizabeth Pharis, MS, RD, LD
- Registered Dietitian
- Harrison, AR
National Provider Identifier
1669064804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2032
- Practice address
- 620 North Main
Harrison, AR 72601 - Phone
- (870) 414-4000
- NPI assigned
- Feb 9, 2021
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2436 | OK | |
| Registered Dietitian | 133V00000X | 2032 | AR | Primary |
Addresses
Primary practice location
620 North Main
Harrison, AR 72601
Mailing address
620 North Main
Harrison, AR 72601
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2032 | AR | MD | Registered Dietitian |
| 2436 | OK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1669064804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 NORTH MAIN",
"city": "HARRISON",
"state": "AR",
"postal_code": "72601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 NORTH MAIN",
"city": "HARRISON",
"state": "AR",
"postal_code": "72601",
"telephone_number": "870-414-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHARIS",
"first_name": "ASHLEIGH",
"middle_name": "ELIZABETH",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "2436",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "2032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.