Active NPI
Nicole Angeline Schmittou
- Registered Dietitian
- Fayetteville, AR
National Provider Identifier
1760122576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86058481
- Practice address
- 215 N College Ave
Fayetteville, AR 72701-4238 - Phone
- (479) 301-5290
- Fax
- (479) 435-6276
- NPI assigned
- Mar 30, 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86058481 | CO | Primary |
Addresses
Primary practice location
215 N College Ave
Fayetteville, AR 72701-4238
Mailing address
825 1/2 N Willow Ave
Fayetteville, AR 72701-2144
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | daybydayhealing.com | Direct | Dr C S ROFKAHR 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 |
|---|---|---|---|
| 86058481 | CO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wild Fig, LLC | Current | Accepting new patients | |
| Day by Day: a Center for Health and Healing | Past | Accepting new patients |
Locations
215 N College Ave
Fayetteville, AR 72701
Phone (479) 301-5290
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fayetteville, AR
- NPI 1770399305
-
- Mental Health Counselor
- Springdale, AR
- NPI 1558978858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1760122576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 1/2 N WILLOW AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727012144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N COLLEGE AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727014238",
"telephone_number": "479-301-5290",
"fax_number": "479-435-6276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMITTOU",
"first_name": "NICOLE",
"middle_name": "ANGELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-30",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "86058481",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "daybydayhealing.com",
"affiliation": "Y",
"endpointDescription": "Website",
"affiliationName": "Dr C S ROFKAHR PLLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Inquiries",
"address_1": "215 N College Ave",
"city": "Fayetteville",
"state": "AR",
"country_code": "US",
"postal_code": "727014238",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 30, 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.