Individual provider Active NPI

Kaylee Goings, RDN

  • Registered Dietitian
  • Springdale, AR
National Provider Identifier
1821883778
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86130402 Issued in AR
Practice address
3057 Springdale Ave
Springdale, AR 72762-4346
Phone
(479) 756-1699
Fax
(479) 756-1693
NPI assigned
Apr 11, 2025
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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 86130402 AR Primary

Addresses

Primary practice location

3057 Springdale Ave
Springdale, AR 72762-4346

Mailing address

PO Box 497
Augusta, AR 72006-0497

Other practice location 1

110 N Drew St
Star City, AR 71667-5704
Phone (870) 628-5110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415002231 AR Practitioner - Registered Dietitian Or Nutrition Professional 6709301492 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86130402ARMDRegistered Dietitian
2113ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mainline Health Systems, Inc Current Accepting new patients
Mainline Health Systems, Inc CurrentSince Apr 1, 2025 Accepting new patients
Mainline Health Systems, Inc CurrentSince Apr 1, 2025 Accepting new patients
Mainline Health Systems, Inc Past Accepting new patients

Locations

579 E Beouff St
Eudora, AR 71640
Phone (870) 355-2512

110 N Drew St
Star City, AR 71667
Phone (870) 628-5110

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, 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": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1821883778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 SPRINGDALE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727624346",
            "telephone_number": "479-756-1699",
            "fax_number": "479-756-1693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 N Drew St",
            "address_purpose": "LOCATION",
            "city": "Star City",
            "state": "AR",
            "postal_code": "716675704",
            "country_code": "US",
            "telephone_number": "870-628-5110",
            "fax_number": "855-854-6281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOINGS",
        "first_name": "KAYLEE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-11",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "86130402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.