Active NPI
Jessie Golden, MS RDN LD
- Registered Dietitian
- Fayetteville, AR
National Provider Identifier
1801509690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2264
- Practice address
- 314 S Block Ave
Fayetteville, AR 72701-6026 - Phone
- (479) 879-5283
- NPI assigned
- Dec 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 2264 | AR | Primary |
Addresses
Primary practice location
314 S Block Ave
Fayetteville, AR 72701-6026
Mailing address
314 S Block Ave
Fayetteville, AR 72701-6026
Phone (479) 879-5283
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2264 | AR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1801509690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 S BLOCK AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727016026",
"telephone_number": "479-879-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 S BLOCK AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727016026",
"telephone_number": "479-879-5283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "JESSIE",
"credential": "MS RDN LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-27",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "2264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.