Organization Active NPI

LSM-Newtrition P.L.C.

  • Registered Dietitian
  • North Little Rock, AR
National Provider Identifier
1689211732
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LSM-NEWTRITION P.L.C.
Practice address
12010 Timber Creek Rd
North Little Rock, AR 72118-1725
Phone
(501) 529-0508
NPI assigned
Dec 9, 2019
Last updated
Dec 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Authorized official

Name
Mrs. Leslie Sutton McNally, MSRDLDNPI 1700099397
Title
Owner/RDLD
Phone
(501) 529-0508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

12010 Timber Creek Rd
North Little Rock, AR 72118-1725

Mailing address

12010 Timber Creek Rd
North Little Rock, AR 72118-1725
Phone (501) 529-0508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200520000080 AR Part B Supplier - Clinic/Group Practice 1254762651 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR; North Little Rock, AR; Sherwood, AR

National Provider Directory

National Provider Directory

Locations

11321 Interstate 30
Ste 200
Little Rock, AR 72209
Phone (501) 444-2748

2215 Wildwood Ave
Ste 208
Sherwood, AR 72120
Phone (501) 552-7570

2215 Wildwood Ave
Ste 210
Sherwood, AR 72120
Phone (501) 552-7570

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1689211732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12010 TIMBER CREEK RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721181725",
            "telephone_number": "501-529-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 TIMBER CREEK RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721181725",
            "telephone_number": "501-529-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSM-NEWTRITION P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "MCNALLY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "SUTTON",
        "authorized_official_title_or_position": "OWNER/RDLD",
        "authorized_official_telephone_number": "501-529-0508",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSRDLD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.