Active NPI
Alejandra Joselie Aguayo Rodriguez, BACHELORS
- Nutrition Education Nutritionist
- Bentonville, AR
National Provider Identifier
1750004644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- PLD314
- Practice address
- 111 SE 22ND St Ste 11
Bentonville, AR 72712-5180 - Phone
- (479) 289-8465
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | PLD314 | AR | Primary |
Addresses
Primary practice location
111 SE 22ND St Ste 11
Bentonville, AR 72712-5180
Mailing address
1137 S Sherman Ave
Fayetteville, AR 72701-1108
Phone (479) 249-4234
Other names 1
- Alejandra Joseline Aguayo Rodriguez
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aaguayo@livinghopeok.com | Other | Living Hope Eating Disorder Treatment Center, PLLC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PLD314 | AR | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1750004644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1137 S SHERMAN AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727011108",
"telephone_number": "479-249-4234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SE 22ND ST STE 11",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727125180",
"telephone_number": "479-289-8465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUAYO RODRIGUEZ",
"first_name": "ALEJANDRA",
"middle_name": "JOSELIE",
"credential": "BACHELORS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "AR",
"license": "PLD314",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aaguayo@livinghopeok.com",
"affiliation": "Y",
"affiliationName": "Living Hope Eating Disorder Treatment Center, PLLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "aaguayo@livinghopeok.com",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "aaguayo@livinghopeok.com",
"address_1": "111 SE 22nd St Ste 11",
"city": "Bentonville",
"state": "AR",
"country_code": "US",
"postal_code": "727125180",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ALEJANDRA",
"last_name": "AGUAYO RODRIGUEZ",
"middle_name": "JOSELINE",
"credential": "PLD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.