Mary Jane Pettit, RD LD
Registered Dietitian · Conway, AR
Mary Jane Pettit, RD LD is a registered dietitian with a practice address in Conway, Arkansas, and NPI 1801054747, issued on May 28, 2008. Check the license (Arkansas 807715, as entered in NPPES) with the Arkansas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mary Jane Pettit
- Credential
- RD LD
- Primary taxonomy
- Registered Dietitian 133V00000X
- License number
- 807715 AR
Self-reported in NPPES; status is on the state search - Practice location
- 2200 Bruce St. Ste 101, Conway, AR 72034
- Phone
- (501) 470-7457
- Enumerated
- May 28, 2008
- Record last updated
- Sep 13, 2022
- Fax
- (501) 504-2105
- Medicaid ID
- 101615105 AR
- Medicare enrollment
- Enrolled (PECOS I20090423000609); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 2200 Bruce St. Ste 101
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Amber Goff, M.S CCC-SLPSpeech-Language Pathologist1164545661
Verify Mary Jane Pettit in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arkansas board licenses this profession
Search for license 807715Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- University OF Central ArkansasConway, AR
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
39 registered dietitian records list a practice address in Conway
They are 39 of the 2,848 NPPES records with a practice address in Conway, and 573 registered dietitian records in Arkansas.
All 39 in Conway → All 573 in Arkansas → Every provider in Conway →
Other registered dietitian records in Arkansas
- Patricia Abraham, RDJonesboro, AR1255765459
- Layne Adams, MS, RD, LDLittle Rock, AR1275958761
- Taylor Ajtun, RDFort Smith, AR1922885391
- Terrah Alexander, MS, RD, LDNorth Little Rock, AR1841359809
- Lauren Allbritton, RDNJacksonville, AR1538922737
- Kristen Allen, RDN, LDLittle Rock Afb, AR1720504194
- Lauren Allinson, RD, LDRussellville, AR1144998931
- Amanda Almand, RDTexarkana, AR1154693380
- Stephanie Alsbrook, R.D., L.D.North Little Rock, AR1083924377
- Barbara Ammons, RD, LDLittle Rock, AR1346278785
Common questions
What is Mary Jane Pettit, RD LD's NPI number?
Mary Jane Pettit, RD LD's National Provider Identifier (NPI) is 1801054747, issued on May 28, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Mary Jane Pettit, RD LD located?
The NPPES record lists a practice address at 2200 Bruce St. Ste 101, Conway, AR, 72034. Phone: (501) 470-7457. Providers update this record themselves, so call before visiting.
How can I verify Mary Jane Pettit, RD LD's license?
NPPES lists Arkansas license number 807715, as entered by the provider. Search the Arkansas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.