Courtney Rose Smith, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

090714 Issued in IA

Practice address

4911 SW 19TH St
Des Moines, IA 50315-4487

Phone

(515) 782-9990

NPI assigned

Nov 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1134698251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 NE 13TH ST",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501111107",
            "telephone_number": "515-782-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 SW 19TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503154487",
            "telephone_number": "515-782-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Cole St",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "IA",
            "postal_code": "500478763",
            "country_code": "US",
            "telephone_number": "515-782-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COURTNEY",
        "middle_name": "ROSE",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "090714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie A Smith
• Catherine Patrice Smith, ARNP
• Chelsey Marie Smith, BA
• Clayton Thomas Smith, DO
• Clinton R. Smith, ARNP
• Deborah Smith, LMFT
• Debra Smith, PA-C
• Edgar Lee Smith, D.D.S.
• Edward Charles Smith, RDCS
• Emily Smith, LISW

• Registered Dietitian in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.