Pediatric Nutrition Provider of Arkansas
NPI 1265569453 · Durable Medical Equipment & Medical Supplies · Benton, AR
Pediatric Nutrition Provider of Arkansas is a Durable Medical Equipment & Medical Supplies organization in Benton, AR (NPI 1265569453).
Provider details
- NPI number
- 1265569453
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Nicole Motto, Co-Owner(501) 315-7337
- License
- MG00511 (AR)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Arkansas Respiratory & Equipment Provider
Registry dates
- Enumerated
- 2007-02-27
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pediatric Nutrition Provider of Arkansas's NPI number?
- Pediatric Nutrition Provider of Arkansas's National Provider Identifier (NPI) is 1265569453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Nutrition Provider of Arkansas?
- Pediatric Nutrition Provider of Arkansas is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Pediatric Nutrition Provider of Arkansas located?
- Pediatric Nutrition Provider of Arkansas's practice location on file with NPPES is 920 Edison Ave, Benton, AR 72015-4502.
- What is Pediatric Nutrition Provider of Arkansas's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Nutrition Provider of Arkansas is (501) 315-7337.
- Who is the authorized official for Pediatric Nutrition Provider of Arkansas?
- The authorized official listed on Pediatric Nutrition Provider of Arkansas's NPPES record is Nicole Motto, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Nutrition Provider of Arkansas's NPI active?
- Yes — Pediatric Nutrition Provider of Arkansas's NPI (1265569453) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.