Active NPI
Ashley Lauren O'Roark, M.S. R.D. L.D.
- Registered Dietitian
- Conway, AR
National Provider Identifier
1821235649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1091
- Practice address
- 2302 College Ave
Conway, AR 72034-6297 - Phone
- (501) 450-9292
- Fax
- (501) 932-0872
- NPI assigned
- Jan 15, 2009
- 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 | 1091 | AR | Primary |
Addresses
Primary practice location
2302 College Ave
Conway, AR 72034-6297
Mailing address
1902 Rodeo Dr
Bryant, AR 72022-6640
Phone (501) 467-2947
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)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1821235649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 RODEO DR",
"city": "BRYANT",
"state": "AR",
"postal_code": "720226640",
"telephone_number": "501-467-2947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 COLLEGE AVE",
"city": "CONWAY",
"state": "AR",
"postal_code": "720346297",
"telephone_number": "501-450-9292",
"fax_number": "501-932-0872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'ROARK",
"first_name": "ASHLEY",
"middle_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "M.S. R.D. L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-15",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "1091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.