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ELLEN CORINNE DEORBEGOZO RDN
NPI 1326644683
Dietitian, Registered in Little Rock, AR

Active since December 10, 2020
10915 N RODNEY PARHAM RD STE G, LITTLE ROCK, AR 72212(501) 202-4294(501) 202-4299 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 21, 2021, Dec 10, 2020 (2 updates tracked since 2020).

About Ellen Corinne Deorbegozo Rdn NPPES

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

ELLEN CORINNE DEORBEGOZO RDN (NPI 1326644683) is an individual dietitian, registered in Little Rock, Arkansas, licensed in Arkansas (86173908) and active in the NPI registry since December 2020. She maintains a secondary practice location in Fort Smith.

NPPES Registry Identity

NPI1326644683
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameELLEN CORINNE DEORBEGOZOCredential: RDN
Location Address10915 N RODNEY PARHAM RD STE GLittle Rock, AR 72212-4114
Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393 · (501) 812-7215 · Fax (501) 812-7207
Phone(501) 202-4294
Fax(501) 202-4299
Sole ProprietorNo
Enumeration DateDecember 10, 2020
Last NPPES UpdateApril 21, 20212 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1326644683 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 · 86173908
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.
10915 N RODNEY PARHAM RD STE G, Little Rock, AR 72212
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Secondary Practice Location 1

Location 17301 Rogers AveFort Smith, AR 72903-4100 · Phone (479) 314-6000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Corinne Deorbegozo Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Ellen Deorbegozo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Zipongo Health Provider Group P.A.
1,681 mi
Nutrition, Obesity and Weight Management
595 PACIFIC AVE FL 4
San Francisco, CA 94133
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Zipongo Health Provider Group PA
  • 4 clinicians in this Medicare group
NPI 1972146694 (415) 800-2311

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 3

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

MRS. VERONICA MARIE CLICK RDN
Dietitian, Registered
10915 N RODNEY PARHAM RD STE G
LITTLE ROCK, AR 72212
Pulaski County (501) 202-4296
ARKANSAS HEALTH GROUP
Surgery
10915 N RODNEY PARHAM RD STE G
LITTLE ROCK, AR 72212
Pulaski County (501) 202-2001
MRS. KRISTEN NICOLE SHORES RDN
Dietitian, Registered
10915 N RODNEY PARHAM RD STE G
LITTLE ROCK, AR 72212
Pulaski County (501) 202-2001

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 Ellen Deorbegozo's NPI number?

The NPI number for Ellen Deorbegozo is 1326644683. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Where is Ellen Deorbegozo located?

Ellen Deorbegozo practices at 10915 N Rodney Parham Rd Ste G, Little Rock, AR 72212. The listed phone number is (501) 202-4294.

What is Ellen Deorbegozo's specialty?

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

Is Ellen Deorbegozo enrolled in Medicare?

Yes. Ellen Deorbegozo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellen Deorbegozo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Deorbegozo reassigns Medicare benefits to Zipongo Health Provider Group P.A. (San Francisco, CA). The 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 Ellen Deorbegozo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ellen Deorbegozo was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.