Individual provider Active NPI

Kristen Potts, MBA, RD, LD

  • Registered Dietitian
  • Little Rock, AR
National Provider Identifier
1902570930
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1806 Issued in AR
Practice address
8 Shackleford PLZ
Ste 311
Little Rock, AR 72211-1852
Phone
(501) 492-9609
NPI assigned
Aug 3, 2021
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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 1806 AR Primary

Addresses

Primary practice location

8 Shackleford PLZ
Ste 311
Little Rock, AR 72211-1852

Mailing address

8 Shackleford PLZ
Ste 311
Little Rock, AR 72211-1852
Phone (501) 492-9609

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 Business Administration

State licenses

LicenseStateTypeSpecialty
1806ARMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Newtrition: Dietitian Consulting, LLC CurrentSince Feb 6, 2022 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

8 Shackleford Plz
Ste 311
Little Rock, AR 72211
Phone (479) 747-1522

Organizations & group practices 2

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1902570930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SHACKLEFORD PLZ",
            "address_2": "STE 311",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111852",
            "telephone_number": "501-492-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SHACKLEFORD PLZ",
            "address_2": "STE 311",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111852",
            "telephone_number": "501-492-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "KRISTEN",
        "credential": "MBA, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1806",
            "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 Sep 27, 2021; 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.