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ETHAN P BALDRIDGE RD
NPI 1073031712
Dietitian, Registered in Little Rock, AR

Active since September 01, 2017
7 SHACKLEFORD BLVD W, LITTLE ROCK, AR 72211(501) 664-5860 Get Directions Write a Review

NPPES record last updated: September 1, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ethan P Baldridge Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN P BALDRIDGE RD (NPI 1073031712) is an individual dietitian, registered in Little Rock, Arkansas, licensed in Arkansas (1699) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1073031712
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameETHAN P BALDRIDGECredential: RD
Location Address7 SHACKLEFORD BLVD WLittle Rock, AR 72211-3886
Mailing Address7 Shackleford West BlvdLittle Rock, AR 72211-3886 · (501) 978-3780
Phone(501) 664-5860
Sole ProprietorNo
Enumeration DateSeptember 1, 2017
✔ NPI 1073031712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in AR · 1699
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
7 SHACKLEFORD BLVD W, Little Rock, AR 72211
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRADY LANE TAYLOR
Nurse Practitioner (Family)
7 SHACKLEFORD BLVD W
LITTLE ROCK, AR 72211
Pulaski County (501) 664-5860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Baldridge's NPI number?

The NPI number for Ethan Baldridge is 1073031712. It was assigned to this individual provider in the NPPES registry on September 1, 2017.

Where is Ethan Baldridge located?

Ethan Baldridge practices at 7 Shackleford Blvd W, Little Rock, AR 72211. The listed phone number is (501) 664-5860.

What is Ethan Baldridge's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Ethan Baldridge was last updated on September 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.