Individual provider Active NPI

Isa Smelcer, RD

  • Registered Dietitian
  • Winston Salem, NC
National Provider Identifier
1043172869
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L003562 Issued in NC
Practice address
730 Highland Oaks Dr Ste 201
Winston Salem, NC 27103-7108
Phone
(336) 768-2425
NPI assigned
Dec 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L003562 NC Primary

Addresses

Primary practice location

730 Highland Oaks Dr Ste 201
Winston Salem, NC 27103-7108

Mailing address

730 Highland Oaks Dr Ste 201
Winston Salem, NC 27103-7108

Other practice location 1

3333 Brookview Hills Blvd Ste 105
Winston Salem, NC 27103-5661
Phone (336) 768-2425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260209000302 NC Practitioner - Registered Dietitian Or Nutrition Professional 7810476074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W Scott Moore Et Al PTRGroup PAC ID 2365426483, 12 clinicians

Practice addresses (Care Compare)

730 Highland Oaks Dr
Suite 201
Winston Salem, NC 27103-7108
Phone (336) 768-2425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L003562NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
W Scott Moore Et Al PTR CurrentSince Dec 24, 2025 Accepting new patients

Locations

10 Laura Ln
Thomasville, NC 27360
Phone (336) 472-4500

730 Highland Oaks Dr
Ste 201
Winston Salem, NC 27103
Phone (336) 768-2425

3333 Brookview Hills Blvd
Ste 105
Winston Salem, NC 27103
Phone (336) 765-1464

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": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1043172869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HIGHLAND OAKS DR STE 201",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HIGHLAND OAKS DR STE 201",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037108",
            "telephone_number": "336-768-2425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Brookview Hills Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271035661",
            "country_code": "US",
            "telephone_number": "336-768-2425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMELCER",
        "first_name": "ISA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.