What is Annicia Pettus's NPI number?

Annicia Pettus's National Provider Identifier (NPI) is 1073301495, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Annicia Pettus's specialty?

Annicia Pettus is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).

Where is Annicia Pettus located?

Annicia Pettus's practice location on file with NPPES is 3011 Sue St, Benton, AR 72015-2747.

What is Annicia Pettus's phone number?

The practice phone number listed in the NPPES registry for Annicia Pettus is (501) 454-2125.

Is Annicia Pettus's NPI active?

Yes — Annicia Pettus's NPI (1073301495) is active in the NPPES registry as of the last update on 2025-04-26.

IndividualActive

Annicia Pettus, MS, RD, LD

NPI 1073301495 · Registered Dietitian · Benton, AR

Annicia Pettus, MS, RD, LD is a Registered Dietitian provider in Benton, AR (NPI 1073301495).

Provider details

NPI number: 1073301495
Entity type: Individual
Primary specialty: Registered DietitianDietary & Nutritional Service Providers
Credential: MS, RD, LD
Sex: Female
Sole proprietor: Yes
License: 2777 (AR)

Specialties & taxonomies

Registered DietitianPrimary133V00000XLicense 2777 (AR)
Dietary & Nutritional Service Providers

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3011 Sue St

Benton, AR 72015-2747

Phone: (501) 454-2125

Approximate (ZIP-level) locationGet directions

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Mailing address