OrganizationActive
Rare Nutrition Inc
NPI 1265181432 · Medical Foods Supplier · Fayetteville, AR
Provider details
- NPI number
- 1265181432
- Entity type
- Organization
- Primary specialty
- Medical Foods SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Mark Modlin, Ceo(816) 261-3298
Specialties & taxonomies
Suppliers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs 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
1366 S Spritz Dr
Fayetteville, AR 72701-2615
Phone: (816) 261-3298
Street-level locationGet directions
Mailing address
Po Box 1606
Fayetteville, AR 72702-1606
Registry dates
- Enumerated
- 2022-03-23
- Last updated
- 2022-03-23
- Certified
- 2022-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.