Khandra Dell Faulkner, MS, RDN
NPI 1720936883ActiveIndividual· Dietitian, Registered· Conway, AR
Dietitian, Registered (MS, RDN) in Conway, Arkansas, licensed in AR, with an NPI issued in March 2026. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1720936883 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RDN |
| Sole proprietor | No |
| NPI issued | Mar 16, 2026 |
| Last updated in NPPES | Mar 16, 2026 |
| Certified by provider | Mar 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 899239 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (AR) |
|---|
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
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