Active NPI
Tara Elizabeth Smith, LDN
- Registered Dietitian
- Clinton, LA
National Provider Identifier
1063763589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2391
- Practice address
- 11990 Jackson St
Clinton, LA 70722-3210 - Phone
- (225) 683-5292
- Fax
- (225) 683-3411
- NPI assigned
- Sep 24, 2012
- 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 | 2391 | LA | Primary |
Addresses
Primary practice location
11990 Jackson St
Clinton, LA 70722-3210
Mailing address
PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292
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 |
|---|---|---|---|
| 2391 | LA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1063763589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 395",
"city": "CLINTON",
"state": "LA",
"postal_code": "707220395",
"telephone_number": "225-683-5292",
"fax_number": "225-683-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11990 JACKSON ST",
"city": "CLINTON",
"state": "LA",
"postal_code": "707223210",
"telephone_number": "225-683-5292",
"fax_number": "225-683-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TARA",
"middle_name": "ELIZABETH",
"credential": "LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-24",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "2391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.