Individual provider Active NPI

Lydia Pauline Sartain, R.D., L.D.

  • Registered Dietitian
  • Little Rock, AR
National Provider Identifier
1780943316
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1213 Issued in AR
Practice address
9601 Interstate 630 Exit 7
Little Rock, AR 72205-7202
Phone
(870) 213-6432
NPI assigned
May 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 1213 AR Primary

Addresses

Primary practice location

9601 Interstate 630 Exit 7
Little Rock, AR 72205-7202

Mailing address

710 Center Ridge Road
Drasco, AR 72530-3416
Phone (870) 213-6432

Other practice location 1

1511 Highway 25B
Heber Springs, AR 72543-1701
Phone (501) 362-9426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MS, KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120726000031 AR Practitioner - Registered Dietitian Or Nutrition Professional 0749446326 Reassigns benefits to 1 organization
I20221109001755 MS Practitioner - Registered Dietitian Or Nutrition Professional 0749446326 Reassigns benefits to 1 organization
I20230111000661 KY Practitioner - Registered Dietitian Or Nutrition Professional 0749446326 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Sep 14, 2020 Accepting new patients
Arcare Current Accepting new patients
Arcare CurrentSince Sep 14, 2020 Accepting new patients
Arcare Past Accepting new patients

Locations

117 S 2nd St
Augusta, AR 72006

623 N 9th St
#40
Augusta, AR 72006

1511 Highway 25B
Heber Springs, AR 72543
Phone (501) 206-2600

125 S 20th St
Paducah, KY 42001
Phone (270) 415-0467

353 Highway 15 N
Pontotoc, MS 38863
Phone (662) 489-5999

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": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1780943316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CENTER RIDGE ROAD",
            "city": "DRASCO",
            "state": "AR",
            "postal_code": "725303416",
            "telephone_number": "870-213-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 INTERSTATE 630 EXIT 7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057202",
            "telephone_number": "870-213-6432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 Highway 25B",
            "address_purpose": "LOCATION",
            "city": "Heber Springs",
            "state": "AR",
            "postal_code": "725431701",
            "country_code": "US",
            "telephone_number": "501-362-9426",
            "fax_number": "501-362-9456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARTAIN",
        "first_name": "LYDIA",
        "middle_name": "PAULINE",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1213",
            "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 Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.