Active NPI
Jordan Alexander Bellew, MS, RD
- Registered Dietitian
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2009
- Practice address
- 8924 Kanis Rd
Little Rock, AR 72205-6414 - Phone
- (501) 455-2712
- Fax
- (501) 455-2781
- NPI assigned
- Jan 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Registered Dietitian | 133V00000X | 2039 | AR | |
| Registered Dietitian | 133V00000X | 2009 | AR | Primary |
Addresses
Primary practice location
8924 Kanis Rd
Little Rock, AR 72205-6414
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other practice location 1
4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 526-6477
Other practice location 2
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2805 Mid Cities Dr
Suite 1
Bentonville, AR 72712-4291
Phone (479) 271-7634
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009 | AR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients |
Locations
623 N 9th St
#40
Augusta, AR 72006
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
8924 Kanis Rd
Little Rock, AR 72205
Phone (501) 227-4750
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
Interoperability endpoints
- jordanbellew@arcare.directbygreenway.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Augusta, AR
- NPI 1275635542
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
- Federally Qualified Health Center (FQHC)
- Jacksonville, AR
- NPI 1821802729
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1730778028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"city": "AUGUSTA",
"state": "AR",
"postal_code": "720060497",
"telephone_number": "870-347-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8924 KANIS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056414",
"telephone_number": "501-455-2712",
"fax_number": "501-455-2781"
}
],
"practiceLocations": [
{
"address_1": "4301 W Markham St",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-526-6477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 W Markham St # 783",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-686-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELLEW",
"first_name": "JORDAN",
"middle_name": "ALEXANDER",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-12",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "2039",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "2009",
"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 Jul 6, 2021; 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.