VIVIAN LEA BRENGARD (NPI# 1093054645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093054645 |
| Entity Type | Individual |
| Full Name | VIVIAN LEA BRENGARD |
| Credential | R.D. |
| Practice Address |
2801 Medical Center Dr Pocahontas AR 72455-9436 |
| Practice Telephone | 8708926000 |
| Practice Fax Number | 8708926259 |
| Mailing Telephone | 8708926000 |
| Mailing Fax Number | 8708926259 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1172 | AR | Dietary & Nutritional Service Providers |
| Street Address |
2801 MEDICAL CENTER DR |
| City | POCAHONTAS |
| State | AR |
| Zip Code | 72455-9436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568448066 | Randolph Emergency Group LLC | Emergency Medicine | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2005-12-16 |
| 1295360360 | Hannah Cagle | Registered Nurse | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2020-03-09 |
| 1336793611 | Jordan Brooke Fletcher | Nurse Practitioner | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2019-07-25 |
| 1376834101 | Jefferydon Lee Coon | Internal Medicine | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2011-04-27 |
| 1932401650 | Five Rivers Medical Center Inc. | Psychiatric Unit | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-12-01 |
| 1922300649 | Five Rivers Medical Center Inc. | Medicare Defined Swing Bed Unit | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-12-01 |
| 1376845099 | Five Rivers Medical Center Inc. | Radiology | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-12-01 |
| 1528360989 | Five Rivers Medical Center Inc. | General Acute Care Hospital | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-11-17 |
| 1093023426 | Anna Pauletta Littleton | Nurse Practitioner | 2801 Medical Center Dr, Pocahontas, AR 72455 | 2010-09-20 |
| 1578793469 | Nancy J Baltz | Nurse Practitioner | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2009-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043694920 | Puckett Dental LLC | Clinic/Center | 1041 Highway 67 North, Pocahontas, AR 72455 | 2015-07-10 |
| 1659676443 | Higginbotham Therapy Providers LLC | Speech-Language Pathologist | 42 Helter Rd, Pocahontas, AR 72455 | 2011-01-25 |
| 1083846059 | Amber Dawn Hudson | Speech-Language Pathologist | 84 Woodland Hill Circle, Pocahontas, AR 72455 | 2009-08-10 |
| 1174752125 | Sara Jocelyn Hubbell | Developmental Therapist | 410 Camp Road, Pocahontas, AR 72455 | 2009-07-13 |
| 1730332511 | Holly T Brigance | Nurse Practitioner | 2901 Medical Center Drive, Pocahontas, AR 72455 | 2008-10-24 |
| 1255598983 | Ashley Erin Taylor | Registered Nurse | 2018 Highway 67 S, Pocahontas, AR 72455 | 2008-05-20 |
| 1740405661 | Leslie Marie Malone | Speech-Language Pathologist | 2300 North Park St., Pocahontas, AR 72455 | 2007-04-16 |
| 1942354808 | D Mike Mcdaniel | Audiologist | 153 Country Club Road, Pocahontas, AR 72455 | 2007-01-22 |
| 1366518615 | University of Arkansas for Medical Sciences | Pediatrics | 300 Camp Rd, Pocahontas, AR 72455 | 2006-11-28 |
| 1275623035 | Families, Inc. of Arkansas | Counselor | 2305 Old County Road, Pocahontas, AR 72455 | 2006-10-13 |
| Find all providers in zip 72455 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1639776883 | Gail Lange-smith | Dietitian, Registered | 805 Beechwood St Apt 3, Little Rock, AR 72205-1974 | 2020-10-01 |
| 1760099238 | Emily Keeling | Dietitian, Registered | 1238 N Vista Pl, Fayetteville, AR 72703-1352 | 2020-09-28 |
| 1033726922 | Alicia Landry | Dietitian, Registered | 201 Donaghey Ave, Mcalister 100, Conway, AR 72035 | 2020-09-25 |
| 1568076792 | Sarah Keathley | Dietitian, Registered | 30 Sugar Creek Rd, North Little Rock, AR 72116-6332 | 2020-09-04 |
| 1003427873 | Midsouth Transitions Arkansas Pa | Dietitian, Registered | 6010 Trinity Hts, Texarkana, AR 71854-8318 | 2020-08-13 |
| 1386267748 | Allison Kreimeier | Dietitian, Registered | 8713 Melkovitz Rd, Hazen, AR 72064-9585 | 2020-05-20 |
| 1427679075 | Christina Kilton | Dietitian, Registered | 13400 Abinger Dr, Little Rock, AR 72212-3704 | 2020-05-05 |
| 1801417696 | Sarah Elizabeth Johnston | Dietitian, Registered | 306 Kimsey Loop, Malvern, AR 72104-8678 | 2020-05-03 |
| 1407476245 | Brooke Ann Erickson | Dietitian, Registered | 3719 Lakeshore Dr, North Little Rock, AR 72116-9032 | 2020-04-22 |
| Find all providers with the same taxonomy | ||||
| City | POCAHONTAS |
| Zip Code | 72455 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.