Active NPI
Lisha M Smathers, RD, LD, CNSC
- Registered Dietitian
- Oklahoma City, OK
National Provider Identifier
1003239559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1258
- Practice address
- 9353 SW 21St St
Oklahoma City, OK 73128-4928 - Phone
- (405) 627-5650
- NPI assigned
- Feb 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1258 | OK | Primary |
Addresses
Primary practice location
9353 SW 21St St
Oklahoma City, OK 73128-4928
Mailing address
9353 SW 21St St
Oklahoma City, OK 73128-4928
Phone (405) 627-5650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141017002175 | OK | Practitioner - Registered Dietitian Or Nutrition Professional | 1557582483 | Practice locations: Oklahoma City, OK |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391385600000",
"number": "1003239559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9353 SW 21ST ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731284928",
"telephone_number": "405-627-5650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9353 SW 21ST ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731284928",
"telephone_number": "405-627-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMATHERS",
"first_name": "LISHA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RD, LD, CNSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-03",
"last_updated": "2014-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.