COURTNEY TACKETT FOSE R.D., L.D.
NPI 1962742023
Dietitian, Registered in Benton, AR

Active since February 26, 2013
1 MEDICAL PARK DR, BENTON, AR 72015(501) 776-6052 Get Directions Write a Review

NPPES record last updated: February 26, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Courtney Tackett Fose R.d., L.d. NPPES

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

COURTNEY TACKETT FOSE R.D., L.D. (NPI 1962742023) is an individual dietitian, registered in Benton, Arkansas, licensed in Arkansas (1199) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1962742023
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCOURTNEY TACKETT FOSECredential: R.D., L.D.
Location Address1 MEDICAL PARK DRBenton, AR 72015-3353
Mailing Address138 Lotus PlHot Springs, AR 71901-9220
Sole ProprietorNo
Enumeration DateFebruary 26, 2013
NPI 1962742023 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 · 1199
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.

1 MEDICAL PARK DR, Benton, AR 72015

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.

Anesthesiology
1 MEDICAL PARK DR
BENTON, AR 72015
Anesthesiology
1 MEDICAL PARK DR
BENTON, AR 72015
Anesthesiology
1 MEDICAL PARK DR
BENTON, AR 72015
Dietitian, Registered
1 MEDICAL PARK DR
BENTON, AR 72015
Dietitian, Registered
1 MEDICAL PARK DR
BENTON, AR 72015
Physical Therapist
1 MEDICAL PARK DR, SALINE PEDIATRIC THERAPIES
BENTON, AR 72015
Speech-Language Pathologist
1 MEDICAL PARK DR
BENTON, AR 72015
Speech-Language Pathologist
1 MEDICAL PARK DR
BENTON, AR 72015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962742023, enumerated as an "individual" on February 26, 2013.

The provider is located at 1 MEDICAL PARK DR BENTON, AR 72015 and the phone number is (501) 776-6052.

Dietitian, Registered with taxonomy code 133V00000X.