Soul and Soil PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SOUL AND SOIL PLLC

Doing business as

Soul & Soil

Practice address

740 S Salem Rd Ste 103
Conway, AR 72034-5520

Phone

(501) 654-4410

NPI assigned

Mar 21, 2024

Last updated

Apr 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Garrett Samuel Collums, R.D.NPI 1710763990

Title

Registered Dietitian R.D.

Phone

(501) 654-4125

Specialties & licenses 1

Addresses

Other names 1

• Soul & Soil Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Garrett Samuel Collums

  • Registered Dietitian
  • Conway, AR
  • NPI 1710763990
  Authorized official Same address or phone

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1861252140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 SIMMS ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346413",
            "telephone_number": "501-654-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S SALEM RD STE 103",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345520",
            "telephone_number": "501-654-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL AND SOIL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "COLLUMS",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN R.D.",
        "authorized_official_telephone_number": "501-654-4125",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soul & Soil",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soul & Soil",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Scott Smittle, M.S., LPC
• Snell Prosthetic & Orthotic Laboratory
• Susan Sobel, PH.D.
• Ronak Gajendrakumar Soni, M.D
• Christina Sorrells
• Ryan Michael Southard, M.D.
• Southern Caregivers of Conway
• Kaitlyn Beth Sovulewski
• Kelli Sowers, SLP
• Tressie Elizabeth Spadoni

• Registered Dietitian in Conway, AR
• Providers in Conway, AR by specialty
• Registered Dietitian in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.