MRS. MARY AMANDA BERTALOTTO RD, LD
NPI 1184877623
Dietitian, Registered in Fayetteville, AR

Q: What is Mary Bertalotto's NPI number?

The NPI number for Mary Bertalotto is 1184877623. It was assigned to this individual provider in the NPPES registry on October 28, 2008. The provider is also known as Ms. Mandy Bertalotto Rd, Ld.

Q: What is Mary Bertalotto's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Bertalotto was last updated on June 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 28, 2008

1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 443-4301 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 22, 2020, Sep 30, 2019 (2 updates tracked since 2019).

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About Mrs. Mary Amanda Bertalotto Rd, Ld NPPES

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

MRS. MARY AMANDA BERTALOTTO RD, LD (NPI 1184877623) is an individual dietitian, registered in Fayetteville, Arkansas, licensed in Arkansas (760) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1184877623

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. MARY AMANDA BERTALOTTOCredential: RD, LD

Location Address1100 N COLLEGE AVEFayetteville, AR 72703-1944

Mailing AddressPo Box 2429Smyrna, TN 37167-1719 · (479) 443-4301

Phone(479) 443-4301

Sole ProprietorNo

Enumeration DateOctober 28, 2008

Last NPPES UpdateJune 22, 20202 updates tracked since enumeration

NPPES CertifiedJune 22, 2020

✔ NPI 1184877623 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 · 760

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.

1100 N COLLEGE AVE, Fayetteville, AR 72703

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Other Names 1

Other Name (5)Ms. Mandy Bertalotto Rd, Ld

Other Providers at the Same Location NPPES 20

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

MICHELE L GRIFFIN NP-C

Nurse Practitioner (Family)