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MRS. SHANNA ANN BENNETT RD
NPI 1255931093
Dietitian, Registered in Bryant, AR

Active since October 30, 2020
1901 ENCORE WAY, BRYANT, AR 72019(501) 219-7770 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 9, 2023, Apr 21, 2021, Oct 30, 2020 (3 updates tracked since 2020).

About Mrs. Shanna Ann Bennett Rd NPPES

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

MRS. SHANNA ANN BENNETT RD (NPI 1255931093) is an individual dietitian, registered in Bryant, Arkansas, licensed in Arkansas (2000) and active in the NPI registry since October 2020. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1255931093
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. SHANNA ANN BENNETTCredential: RD
Location Address1901 ENCORE WAYBryant, AR 72019-8896
Mailing Address1901 Encore WayBryant, AR 72019-8896 · (501) 219-7770
Phone(501) 219-7770
Sole ProprietorNo
Enumeration DateOctober 30, 2020
Last NPPES UpdateAugust 9, 20233 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1255931093 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 · 2000
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.
1901 ENCORE WAY, Bryant, AR 72019
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Secondary Practice Locations 3

Location 11001 Schneider DrMalvern, AR 72104-4811 · Phone (501) 332-1000
Location 29601 Baptist Health DrLittle Rock, AR 72205-6321 · Phone (501) 202-2001
Location 310915 N Rodney Parham Rd Ste GLittle Rock, AR 72212-4114 · Phone (501) 202-2001 · Fax (501) 202-4299

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shanna Ann Bennett Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Shanna Bennett reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Heart Hospital, LLC
11 mi
Cardiovascular Disease
7 SHACKLEFORD WEST BLVD
Little Rock, AR 72211
  • Reassigned Medicare billing, Arkansas enrollment
  • 169 clinicians in this Medicare group
NPI 1558653212 (501) 664-5860
Arkansas Heart Hospital Rural Health Services, LLC
11 mi
Cardiovascular Disease
7 SHACKLEFORD WEST BLVD
Little Rock, AR 72211
  • Reassigned Medicare billing, Arkansas and Texas enrollments
  • 123 clinicians in this Medicare group
NPI 1548553811 (501) 664-5860
Baptist Health
12 mi
Cardiovascular Disease
9601 BAPTIST HEALTH DRIVE
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 110 clinicians in this Medicare group
NPI 1578593067 (501) 202-2080

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

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

MRS. COURTNEY E SUTTERFIELD RD/RDN
Dietitian, Registered
1901 ENCORE WAY
BRYANT, AR 72019
Saline County (501) 213-4500
OSCAR GONZALO TALLEDO ZEVALLOS
Surgery
1901 ENCORE WAY
BRYANT, AR 72019
Saline County (501) 213-4500
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
General Acute Care Hospital
1901 ENCORE WAY
BRYANT, AR 72019
Saline County (501) 252-6500
LEONARDO IMAGING, LLC
Clinic/Center (Radiology, Mammography)
1901 ENCORE WAY
BRYANT, AR 72019
Saline County (501) 213-4500
ANNA RACHEL JAMES PHARMD
Pharmacist
1901 ENCORE WAY
BRYANT, AR 72019
Saline County (501) 213-4500
MRS. LAUREN ELIZABETH MCBRIDE APRN, FNP-C
Nurse Practitioner (Family)
1901 ENCORE WAY
BRYANT, AR 72019
Saline County (501) 252-6500
ASHLEY M MIZELL APRN
Nurse Practitioner (Family)
1901 ENCORE WAY
BRYANT, AR 72019
Saline County (501) 213-4500
MALEAH A PAULOVICH
Physician Assistant
1901 ENCORE WAY
BRYANT, AR 72019
Saline County (501) 213-4500

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 Shanna Bennett's NPI number?

The NPI number for Shanna Bennett is 1255931093. It was assigned to this individual provider in the NPPES registry on October 30, 2020.

Where is Shanna Bennett located?

Shanna Bennett practices at 1901 Encore Way, Bryant, AR 72019. The listed phone number is (501) 219-7770.

What is Shanna Bennett's specialty?

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

Is Shanna Bennett enrolled in Medicare?

Yes. Shanna Bennett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shanna Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanna Bennett reassigns Medicare benefits to 3 organizations: Arkansas Heart Hospital, LLC (Little Rock, AR), Arkansas Heart Hospital Rural Health Services, LLC (Little Rock, AR) and Baptist Health (Little Rock, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shanna Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanna Bennett accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Shanna Bennett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shanna Bennett was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.