Active NPI
Nancy B. Smith, R.D., L.D., C.D.E.
- Registered Dietitian
- Adamsville, AL
National Provider Identifier
1093058331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1306
- Practice address
- 3915 Veterans Memorial Dr
Suite 106
Adamsville, AL 35005-2260 - Phone
- (205) 674-1222
- Fax
- (205) 674-1230
- NPI assigned
- Apr 5, 2013
- 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 | 1306 | AL | Primary |
Addresses
Primary practice location
3915 Veterans Memorial Dr
Suite 106
Adamsville, AL 35005-2260
Mailing address
3915 Veterans Memorial Dr
Suite 106
Adamsville, AL 35005-2260
Phone (205) 674-1222
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1306 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Nutrition Services LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
3915 Veterans Memorial Dr
Ste 106
Adamsville, AL 35005
Phone (205) 674-1222
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.
-
- Registered Dietitian
- Orange Beach, AL
- NPI 1659711059
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1093058331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 VETERANS MEMORIAL DR",
"address_2": "SUITE 106",
"city": "ADAMSVILLE",
"state": "AL",
"postal_code": "350052260",
"telephone_number": "205-674-1222",
"fax_number": "205-674-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 VETERANS MEMORIAL DR",
"address_2": "SUITE 106",
"city": "ADAMSVILLE",
"state": "AL",
"postal_code": "350052260",
"telephone_number": "205-674-1222",
"fax_number": "205-674-1230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "NANCY",
"middle_name": "B.",
"credential": "R.D., L.D., C.D.E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-05",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "1306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Adamsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.