Active NPI
Kristen Renee Litchford, RD, LD
- Registered Dietitian
- Rogers, AR
National Provider Identifier
1669145181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2013
- Practice address
- 2710 S Rife Medical LN
Rogers, AR 72758-1452 - Phone
- (479) 338-8000
- NPI assigned
- Jul 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2013 | AR | Primary |
Addresses
Primary practice location
2710 S Rife Medical LN
Rogers, AR 72758-1452
Mailing address
631 Ortana Ave Apt 13
Tontitown, AR 72762-4512
Phone (501) 398-9822
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 |
|---|---|---|---|
| 2013 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1669145181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 ORTANA AVE APT 13",
"city": "TONTITOWN",
"state": "AR",
"postal_code": "727624512",
"telephone_number": "501-398-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 S RIFE MEDICAL LN",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581452",
"telephone_number": "479-338-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITCHFORD",
"first_name": "KRISTEN",
"middle_name": "RENEE",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-29",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "2013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.