Active NPI
Ashley Nicole Smith, RDN, LD
- Registered Dietitian
- Stuttgart, AR
National Provider Identifier
1215443767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1714
- Practice address
- 1703 N Buerkle St
Stuttgart, AR 72160-3153 - Phone
- (870) 673-3511
- NPI assigned
- Dec 20, 2017
- 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 | 1714 | AR | Primary |
Addresses
Primary practice location
1703 N Buerkle St
Stuttgart, AR 72160-3153
Mailing address
PO Box 193
Roe, AR 72134-0193
Phone (870) 659-8384
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1714 | AR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1215443767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 193",
"city": "ROE",
"state": "AR",
"postal_code": "721340193",
"telephone_number": "870-659-8384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 N BUERKLE ST",
"city": "STUTTGART",
"state": "AR",
"postal_code": "721603153",
"telephone_number": "870-673-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ASHLEY",
"middle_name": "NICOLE",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-20",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "1714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuttgart, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.