Angelina Suman Smith, MS,RD,LD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

1386 Issued in OK

Practice address

9636 N May Ave
Suite 279
Okc, OK 73120

Phone

(405) 848-9344

NPI assigned

Dec 15, 2008

Sex

Female

Sole proprietor

Yes

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

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Integris Ambulatory Care Corporation

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936
  Medicare reassignment NPD
• Nutrition Partners LLC

  • Registered Dietitian
  • Oklahoma City, OK
  • NPI 1043246242
  NPD (past)

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1194960443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RAQUEL ROAD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73003",
            "telephone_number": "405-330-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9636 N MAY AVE",
            "address_2": "SUITE 279",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-848-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGELINA",
        "middle_name": "SUMAN",
        "name_prefix": "Mrs.",
        "credential": "MS,RD,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "OK",
            "license": "1386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabatha M Rubino, COTA/L
• Gregory Robert Schubert, DO
• Hunter Scott
• Carla Marie Seitz, LPN
• Jasmine Small
• Southern Oklahoma Treatment Services, Inc
• Southern Oklahoma Treatment Services, Inc.
• Spinal Wellness Clinic, P.C.
• Breanna Dawn Stice, COTA/L
• Courtney Anne Thomas, BS, PT, MPT

• Renal Nutrition Registered Dietitian in Okc, OK
• Providers in Okc, OK by specialty
• Renal Nutrition Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.