Khandra Dell Faulkner, MS, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

899239 Issued in AR

Practice address

2200 Bruce St
Conway, AR 72034-6108

Phone

(501) 470-7457

Fax

(501) 450-3296

NPI assigned

Mar 16, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• University of Central Arkansas

  • Family Medicine Physician
  • Conway, AR
  • NPI 1912543240
  Medicare reassignment
• University of Central Arkansas

  • Speech-Language Pathologist
  • Conway, AR
  • NPI 1184387540

  Dietitian, Registered

  NPD
• University of Central Arkansas

  • Physical Therapist
  • Conway, AR
  • NPI 1790439602

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1720936883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NUTRITION AND FAMILY SCIENCES - MACALISTER 100",
            "address_2": "UCA 201 DONAGHEY AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720350001",
            "telephone_number": "501-908-9477",
            "fax_number": "501-908-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BRUCE ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346108",
            "telephone_number": "501-470-7457",
            "fax_number": "501-450-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "KHANDRA",
        "middle_name": "DELL",
        "credential": "MS, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "899239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Farris
• Faulkner County Extended Hands
• Faulkner Emergency Group, PLLC
• Faulkner Operations, LLC
• Faulkner SNF Operations LLC
• Lauren Brooke Faulkner, APN
• Macey Aleyna Faust
• Mark A Feger, MD PHD
• Rashawn Fells, RECOVERY ASSISTANT
• Lisa Felts, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.