Active NPI
Brendan Michael Smith, MS, RDN, LDN
- Registered Dietitian
- Newton, MA
National Provider Identifier
1013562644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4777
- Practice address
- 2014 Washington St
Newton, MA 02462-1607 - Phone
- (617) 243-6000
- NPI assigned
- Aug 9, 2019
- Sex
- Male
- 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 | 4777 | MA | Primary |
Addresses
Primary practice location
2014 Washington St
Newton, MA 02462-1607
Mailing address
103 Hackett Hill Rd
Manchester, NH 03102-8993
Phone (603) 521-5659
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bsmith60@partners.org | Health Information Exchange (HIE) |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4777 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1013562644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 HACKETT HILL RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031028993",
"telephone_number": "603-521-5659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 WASHINGTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621607",
"telephone_number": "617-243-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRENDAN",
"middle_name": "MICHAEL",
"credential": "MS, RDN, LDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-09",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4777",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bsmith60@partners.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2014 Washington St",
"city": "Newton",
"state": "MA",
"country_code": "US",
"postal_code": "024621607",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.