Active NPI
Anna Marroquin
- Registered Dietitian
- Springdale, AR
National Provider Identifier
1780559252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2460
- Practice address
- 3291 S Thompson St Ste A101
Springdale, AR 72764-7344 - Phone
- (479) 388-1736
- NPI assigned
- Oct 6, 2025
- Sex
- Unspecified or another gender identity
- 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 | 2460 | AR | Primary |
Addresses
Primary practice location
3291 S Thompson St Ste A101
Springdale, AR 72764-7344
Mailing address
1 Dolphin LN
Bella Vista, AR 72715-6541
Phone (479) 388-1736
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, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Dolphin LN
Bella Vista, AR 72715-6541
3291 S Thompson St
Suite A101
Springdale, AR 72764-7344
Phone (479) 487-2236
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2460 | AR | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anna Lu Nutrition PLLC | Dietitian, Registered | Current | Accepting new patients |
Locations
3291 S Thompson St
Ste A101
Springdale, AR 72764
Phone (479) 388-1736
Organizations & group practices 1
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": "1759708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766793600000",
"number": "1780559252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DOLPHIN LN",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727156541",
"telephone_number": "479-388-1736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3291 S THOMPSON ST STE A101",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727647344",
"telephone_number": "479-388-1736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARROQUIN",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-10-06",
"last_updated": "2025-12-27",
"certification_date": "2025-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "2460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2025; 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.