Active NPI
Ana Castro-Mejia, DIETARY AIDE
- Dietary Manager
- Benton, AR
National Provider Identifier
1831517259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dietary Manager
- Practice address
- 1506 Mary Kay Blvd
Benton, AR 72015 - Phone
- (501) 315-3344
- NPI assigned
- Apr 2, 2014
- Last updated
- Apr 2, 2014
- 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 |
|---|---|---|---|---|
| Dietary Manager | 132700000X | AR | Primary |
Addresses
Primary practice location
1506 Mary Kay Blvd
Benton, AR 72015
Mailing address
PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1831517259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1589",
"city": "BENTON",
"state": "AR",
"postal_code": "720181589",
"telephone_number": "501-315-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 MARY KAY BLVD",
"city": "BENTON",
"state": "AR",
"postal_code": "72015",
"telephone_number": "501-315-3344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO-MEJIA",
"first_name": "ANA",
"credential": "DIETARY AIDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-02",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.