Individual provider Active NPI

Brittney Sharp, M.S., R.D., L.D.

  • Registered Dietitian
  • Fayetteville, AR
National Provider Identifier
1740655463
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1468 Issued in AR
Practice address
688 E Millsap Rd
Suite 100
Fayetteville, AR 72703-4095
Phone
(479) 463-3072
Fax
(479) 463-3077
NPI assigned
Dec 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1468 AR Primary

Addresses

Primary practice location

688 E Millsap Rd
Suite 100
Fayetteville, AR 72703-4095

Mailing address

688 E Millsap Rd
Suite 100
Fayetteville, AR 72703-4095
Phone (479) 463-3072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316000425 AR Practitioner - Registered Dietitian Or Nutrition Professional 2466758537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Regional Medical SystemGroup PAC ID 8820995434, 238 clinicians

Practice addresses (Care Compare)

688 E Millsap Rd
100 Washington Regional Internal Medicine
Fayetteville, AR 72703-3930
Phone (479) 463-3070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1468ARMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System CurrentSince Dec 29, 2015 Accepting new patients
Washington Regional Medical System Current Accepting new patients
Washington Regional Medical System CurrentSince Dec 29, 2015 Accepting new patients
Washington Regional Medical System Past Accepting new patients

Locations

688 E Millsap Rd
Ste 100
Fayetteville, AR 72703
Phone (479) 463-3070

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.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1740655463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 E MILLSAP RD",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034095",
            "telephone_number": "479-463-3072",
            "fax_number": "479-463-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 E MILLSAP RD",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034095",
            "telephone_number": "479-463-3072",
            "fax_number": "479-463-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "BRITTNEY",
        "credential": "M.S., R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.