Active NPI
Beryl Ann Smith, MS, RD, LD
- Registered Dietitian
- Kingwood, TX
National Provider Identifier
1104583244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86144491
- Practice address
- 22999 Highway 59 N
Kingwood, TX 77339-4412 - Phone
- (281) 348-8178
- NPI assigned
- Nov 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT86424 | TX | |
| Registered Dietitian | 133V00000X | 86144491 | Primary |
Addresses
Primary practice location
22999 Highway 59 N
Kingwood, TX 77339-4412
Mailing address
22 Broadweather PL
The Woodlands, TX 77382-5005
Phone (281) 851-2507
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 |
|---|---|---|---|
| DT86424 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1104583244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BROADWEATHER PL",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773825005",
"telephone_number": "281-851-2507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22999 HIGHWAY 59 N",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773394412",
"telephone_number": "281-348-8178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BERYL",
"middle_name": "ANN",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-23",
"last_updated": "2021-11-23",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT86424",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86144491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.