Individual provider Active NPI

Caitlyn Neuendorf, MS, RD, LD

  • Registered Dietitian
  • Fayetteville, AR
National Provider Identifier
1922644749
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2359 Issued in AR
Practice address
2592 N Gregg Ave Ste 10
Fayetteville, AR 72703-5520
Phone
(316) 308-0030
NPI assigned
Nov 27, 2019
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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 2359 AR Primary

Addresses

Primary practice location

2592 N Gregg Ave Ste 10
Fayetteville, AR 72703-5520

Mailing address

2644 N Gulley Grove Cir
Fayetteville, AR 72703-5496
Phone (316) 308-0030

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

LicenseStateTypeSpecialty
2359ARMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Fuel Your Freedom, PLLC CurrentSince Jul 9, 2025 Accepting new patients

Locations

2592 N Gregg Ave
Ste 10
Fayetteville, AR 72703
Phone (316) 308-0030

3155 N College Ave
Ste 103
Fayetteville, AR 72703
Phone (479) 323-1776

Organizations & group practices 1

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": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1922644749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 N GULLEY GROVE CIR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035496",
            "telephone_number": "316-308-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 N GREGG AVE STE 10",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035520",
            "telephone_number": "316-308-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUENDORF",
        "first_name": "CAITLYN",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "2359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.