Active NPI
Lynda Jean Anderson, M.S., R.D., L.D.
- Registered Dietitian
- Little Rock, AR
National Provider Identifier
1841547767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1102
- Practice address
- 305 S Palm St
Little Rock, AR 72205-5432 - Phone
- (501) 686-9100
- NPI assigned
- Aug 9, 2012
- Last updated
- Aug 9, 2012
- 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 | 1102 | AR | Primary |
Addresses
Primary practice location
305 S Palm St
Little Rock, AR 72205-5432
Mailing address
6 Bainbridge Dr
Conway, AR 72034-7217
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1102 | AR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1841547767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BAINBRIDGE DR",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S PALM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055432",
"telephone_number": "501-686-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "LYNDA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "M.S., R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-09",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "1102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.