Mary Jane Pettit, RD LD
NPI 1801054747ActiveIndividual· Dietitian, Registered· Conway, AR
Dietitian, Registered (RD LD) with University of Central Arkansas, practicing in Conway, Arkansas. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1801054747 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD LD |
| Sole proprietor | Yes |
| NPI issued | May 28, 2008 |
| Last updated in NPPES | Sep 13, 2022 |
| Certified by provider | Sep 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 807715 | 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 | 1993 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- University of Central ArkansasConway, AR · 7 clinicians
Other registered dietitians in Conway
- 1235749359
- 1861252140
- 1083116941
- 1093388183
- 1104704006
- 1154627800
- 1588420715
- 1720936883
- 1992270805
- 1841700879
- 1417871138
- 1114433851
All 41 registered dietitians in Conway · All registered dietitians in Arkansas