Active NPI
Niti Puri, RD
- Registered Dietitian
- Little Rock, AR
National Provider Identifier
1801309497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1689
- Practice address
- 7 Shackleford West Blvd
Little Rock, AR 72211-3886 - Phone
- (501) 664-5860
- Fax
- (501) 664-0889
- NPI assigned
- Nov 6, 2017
- 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 | 1689 | AR | Primary |
Addresses
Primary practice location
7 Shackleford West Blvd
Little Rock, AR 72211-3886
Mailing address
7 Shackleford West Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689 | Other | AR | DIETETIC LICENSING BOARD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1689 | AR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509926400000",
"number": "1801309497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SHACKLEFORD WEST BLVD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722113886",
"telephone_number": "501-664-5860",
"fax_number": "501-664-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 SHACKLEFORD WEST BLVD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722113886",
"telephone_number": "501-664-5860",
"fax_number": "501-664-0889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURI",
"first_name": "NITI",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-06",
"last_updated": "2017-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "1689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETETIC LICENSING BOARD",
"identifier": "1689",
"state": "AR"
}
],
"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 Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.