Active NPI
Marian Clare Paquette, RD, LD
- Registered Dietitian
- Little Rock, AR
National Provider Identifier
1932137841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 761
- Practice address
- 9601 Baptist Health Dr
Little Rock, AR 72205-6321 - Phone
- (501) 202-1880
- Fax
- (501) 202-1790
- NPI assigned
- Jun 29, 2006
- 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 | 761 | AR | Primary |
Addresses
Primary practice location
9601 Baptist Health Dr
Little Rock, AR 72205-6321
Mailing address
32 Gloucester Dr
Little Rock, AR 72227-2118
Phone (201) 223-5318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5X490 | Other | AR | MNT PROVIDER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 761 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Baptist Health | Past | Accepting new patients | |
| Baptist Health Hospitals | Past | Accepting new patients | |
| Baptist Health Imaging Center - Highway 10 LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1578593067
-
- Nutrition Education Nutritionist
- Stuttgart, AR
- NPI 1982016028
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Little Rock, AR
- NPI 1326083973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1932137841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 GLOUCESTER DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722272118",
"telephone_number": "201-223-5318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 BAPTIST HEALTH DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056321",
"telephone_number": "501-202-1880",
"fax_number": "501-202-1790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAQUETTE",
"first_name": "MARIAN",
"middle_name": "CLARE",
"name_prefix": "Ms.",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "761",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNT PROVIDER",
"identifier": "5X490",
"state": "AR"
}
],
"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 Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.