Active NPI
Jamika Alise Smith, RD
- Registered Dietitian
- Fort Sill, OK
National Provider Identifier
1003651969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD006354
- Practice address
- 6036 Bessinger St
Fort Sill, OK 73503-4406 - Phone
- (210) 560-1226
- NPI assigned
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- No
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 | LD006354 | GA | Primary |
Addresses
Primary practice location
6036 Bessinger St
Fort Sill, OK 73503-4406
Mailing address
6036 Bessinger St
Fort Sill, OK 73503-4406
Phone (210) 560-1226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD006354 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1003651969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6036 BESSINGER ST",
"city": "FORT SILL",
"state": "OK",
"postal_code": "735034406",
"telephone_number": "210-560-1226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6036 BESSINGER ST",
"city": "FORT SILL",
"state": "OK",
"postal_code": "735034406",
"telephone_number": "210-560-1226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JAMIKA",
"middle_name": "ALISE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD006354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.