Active NPI
Vida Retzlaff, RD
- Registered Dietitian
- Hot Springs, AR
National Provider Identifier
1962430520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 475
- Practice address
- 101 McGowan CT
Hot Springs, AR 71913-6451 - Phone
- (501) 623-2781
- Fax
- (501) 623-1774
- NPI assigned
- Jun 30, 2006
- Last updated
- Jul 8, 2007
- 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 | 475 | AR | Primary |
Addresses
Primary practice location
101 McGowan CT
Hot Springs, AR 71913-6451
Mailing address
101 McGowan CT
Hot Springs, AR 71913-6451
Phone (501) 623-2781
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 |
|---|---|---|---|
| 475 | AR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthfirst Physicians of Arkansas, P. a. | Past | Accepting new patients |
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.
-
dba Orthopaedic Associates of Arkansas
- Specialist
- Hot Springs, AR
- NPI 1548200330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962430520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MCGOWAN CT",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136451",
"telephone_number": "501-623-2781",
"fax_number": "501-623-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MCGOWAN CT",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136451",
"telephone_number": "501-623-2781",
"fax_number": "501-623-1774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETZLAFF",
"first_name": "VIDA",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, AR
- Pratik Raj Regmi
- Malaika Rehmani, MD
- Renal Treatment Centers Southeast LP (Ouachita Dialysis)
- Renal Treatment Centers-Southeast, LP. (Hot Springs Dialysis)
- Resort Radiology, PLLC
- Revive Health and Wellness
- William Reyenga, M.D.
- Bridget Diane Reyes, APRN
- Sarah Elizabeth Reyna, APRN
- Reynolds Geriatric Apn Care, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.