Individual provider Active NPI

Amy Keywood, RD, CDE

  • Registered Dietitian
  • Mountain View, AR
National Provider Identifier
1821025164
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
886083 Issued in MS
Practice address
477 J W Dr
Mountain View, AR 72560-4000
Phone
(601) 573-9725
NPI assigned
Jun 26, 2006
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 886083 MS Primary
Diabetes Educator Registered Nurse 163WD0400X 135470 KY

Addresses

Primary practice location

477 J W Dr
Mountain View, AR 72560-4000

Mailing address

477 J W Dr
Mountain View, AR 72560-4000
Phone (601) 573-9725

Other identifiers 1

IdentifierTypeStateIssuer
710000337OtherMSRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, KY, AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101007000447 MS Practitioner - Registered Dietitian Or Nutrition Professional 8527261973 Reassigns benefits to 1 organization
Practice locations: Hazlehurst, MS
I20190903003136 KY Practitioner - Registered Dietitian Or Nutrition Professional 8527261973 Reassigns benefits to 1 organization
I20201001001581 AR Practitioner - Registered Dietitian Or Nutrition Professional 8527261973 Reassigns benefits to 1 organization
Practice locations: Mountain View, AR

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

1511 Hwy 25 B N
Arcare 85
Heber Springs, AR 72543-0497
Phone (501) 362-9438

54 Tate Springs Rd
Melbourne, AR 72556-8633
Phone (870) 368-5030

805 3Rd St
Horseshoe Bend, AR 72512-3736
Phone (870) 670-4861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
886083MSMDRegistered Dietitian
135470KYMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Dec 7, 2020 Accepting new patients
Arcare CurrentSince Dec 7, 2020 Accepting new patients
Arcare Current Accepting new patients
Arcare CurrentSince Dec 7, 2020 Accepting new patients
Amy Keywood CurrentSince Aug 4, 2006 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

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

405 Georgetown St
Hazlehurst, MS 39083
Phone (601) 894-1616

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1821025164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 J W DR",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725604000",
            "telephone_number": "601-573-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 J W DR",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725604000",
            "telephone_number": "601-573-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYWOOD",
        "first_name": "AMY",
        "credential": "RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "886083",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "KY",
            "license": "135470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "710000337",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.

Verify at the official NPI Registry.