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MRS. RENITA PAIGE MOBLEY RD, CSP, LD
NPI 1992340343
Dietitian, Registered - Nutrition, Pediatric in Little Rock, AR

Active since November 08, 2019
4301 W MARKHAM ST, LITTLE ROCK, AR 72205(501) 686-5000 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Renita Paige Mobley Rd, Csp, Ld NPPES

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

MRS. RENITA PAIGE MOBLEY RD, CSP, LD (NPI 1992340343) is an individual nutrition, pediatric provider in Little Rock, Arkansas, licensed in Arkansas (237) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1992340343
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameMRS. RENITA PAIGE MOBLEYCredential: RD, CSP, LD
Location Address4301 W MARKHAM STLittle Rock, AR 72205-7101
Mailing Address4301 W Markham StLittle Rock, AR 72205-7101
Phone(501) 686-5000
Sole ProprietorNo
Enumeration DateNovember 8, 2019
✔ NPI 1992340343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License✔ Licensed in AR · 237
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
4301 W MARKHAM ST, Little Rock, AR 72205
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Renita Paige Mobley Rd, Csp, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

University Of Arkansas For Medical Sciences
Same address
Advanced Practice Midwife
4301 W MARKHAM ST # 783
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 2,038 clinicians in this Medicare group
NPI 1043372220 (501) 686-8000

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 20

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

MRS. LESLEY BROOKE JONES R.D.
Dietitian, Registered
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6857
NANCY MAALOUF M.D.
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST, SLOT # 500
LITTLE ROCK, AR 72205
Pulaski County (501) 296-1165
DR. ARMANDO LEONEL MARTINEZ M.D.
Emergency Medicine
4301 W MARKHAM ST, SLOT 783
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
ELENA AMBROGINI MD PHD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4301 W MARKHAM ST, # 783
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
SUKANTHI KOVVURU
Psychiatry & Neurology (Neuromuscular Medicine)
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (609) 865-3702
DR. TYLER KRISTOPHER ROSE M.D.
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
ZAIN BLACKWELL
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
MUHAMMAD JAWAD JAVED MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000

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 Renita Mobley's NPI number?

The NPI number for Renita Mobley is 1992340343. It was assigned to this individual provider in the NPPES registry on November 8, 2019.

Where is Renita Mobley located?

Renita Mobley practices at 4301 W Markham St, Little Rock, AR 72205. The listed phone number is (501) 686-5000.

What is Renita Mobley's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Is Renita Mobley enrolled in Medicare?

Yes. Renita Mobley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Renita Mobley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renita Mobley reassigns Medicare benefits to University Of Arkansas For Medical Sciences (Little Rock, AR). 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 Renita Mobley'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 Renita Mobley was last updated on November 8, 2019. 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.