Rosalea Petillo Hyland, MS RD LD

Primary specialty

NutritionistTaxonomy code 133N00000X

License

585 Issued in AR

Practice address

1919 West 12TH Street
800 Marshall Street Slot 900
Little Rock, AR 72202

Phone

(501) 364-6577

NPI assigned

Oct 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lea P Hyland Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1972756823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BRENTWOOD CV",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237301",
            "telephone_number": "501-941-7645",
            "fax_number": "501-843-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 WEST 12TH STREET",
            "address_2": "800 MARSHALL STREET SLOT 900",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72202",
            "telephone_number": "501-364-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYLAND",
        "first_name": "ROSALEA",
        "middle_name": "PETILLO",
        "credential": "MS RD LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "AR",
            "license": "585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEA",
            "last_name": "HYLAND",
            "middle_name": "P",
            "credential": "MS RD LD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hy Cranial Prosthetic Solutions
• Carrie R Hyde, M.D.
• Kandy M Hyde, LCSW
• Michael James Hyde, APRN
• Jourdan Hydol-Smith
• Hayden Nathaniel Hyman, PHARMD
• Ralph Allen Hyman, ED.D.
• Kirstan Leigh Hyser, DDS
• I Care of Arkansas, Inc.
• I Care of Arkansas, Inc.

• Nutritionist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Nutritionist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.