Michelle Lynn Smith, RDN, LD, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37001817A Issued in IN

Practice address

1400 Main St Unit 191
Clarksville, IN 47129-3121

Phone

(502) 792-7066

NPI assigned

Jan 5, 2010

Last updated

Dec 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Michelle L Bobbitt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthy Lifestyle Solutions, LLC

  • Registered Dietitian
  • Clarksville, IN
  • NPI 1962162768

  Dietitian, Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1083944664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MAIN ST UNIT 191",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471293121",
            "telephone_number": "502-792-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MAIN ST UNIT 191",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471293121",
            "telephone_number": "502-792-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "RDN, LD, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "123707",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37001817A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BOBBITT",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Smith
• Jessica Smith, APRN
• Jordan Smith
• Julia Smith
• Kelsey Smith
• SN Kentuckiana Rehab, LLC (KORT Physical Therapy)
• Nancy Katherine Snyder, R.PH.
• Sadie E Soliday, RBT
• Sumit Som, M.D.
• Audrey Sonne

• Registered Dietitian in Clarksville, IN
• Providers in Clarksville, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.