Active NPI
Aaron Anderson, RD
- Registered Dietitian
- Little Rock, AR
National Provider Identifier
1669624474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1078
- Practice address
- 1 Saint Vincent Cir Ste 210
Little Rock, AR 72205-5407 - Phone
- (501) 552-4777
- Fax
- (501) 552-4570
- NPI assigned
- Oct 13, 2008
- Sex
- Male
- 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 | 1078 | AR | Primary |
Addresses
Primary practice location
1 Saint Vincent Cir Ste 210
Little Rock, AR 72205-5407
Mailing address
PO Box 22720
Little Rock, AR 72221-2720
Phone (501) 224-1690
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1078 | AR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224460800000",
"number": "1669624474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22720",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722212720",
"telephone_number": "501-224-1690",
"fax_number": "501-224-1927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT VINCENT CIR STE 210",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055407",
"telephone_number": "501-552-4777",
"fax_number": "501-552-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "AARON",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-13",
"last_updated": "2008-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "1078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.