=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275958761
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LAYNE ELIZABETH ADAMS MS, RD, LD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/20/2014
-----------------------------------------------------
Last Update Date | 06/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9500 KANIS RD STE 410
-----------------------------------------------------
City | LITTLE ROCK
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72205-6377
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-202-1500
-----------------------------------------------------
Fax | 501-202-1133
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3410 N MAGNOLIA ST
-----------------------------------------------------
City | NORTH LITTLE ROCK
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72116-8706
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-620-3775
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number | 1424
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------