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Pediatric Nutrition Provider of Ar

Parenteral & Enteral Nutrition Supplies (DME) in Benton, AR · enumerated 2007 · authorized official Nicole Motto, Co-Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588873053

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric Nutrition Provider of Ar
Other name <Unavail>
Practice address 920 Edison Ave, Suite #9, Benton, AR, 72015
Enumeration date May 22, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

332BP3500X Parenteral & Enteral Nutrition Supplies (DME) Suppliers · License AR20528 (AR) Primary

Authorized official

Name Nicole Motto
Title Co-Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Pediatric Nutrition Provider of Ar located?
The practice location on file with NPPES is in Benton, AR.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.