Jessica Smallwood, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI1028 Issued in ME

Practice address

1 Hillside Dr
Hampden, ME 04444-1721

Phone

(207) 745-7973

NPI assigned

Mar 20, 2024

Last updated

Sep 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Heacock Former name

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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1255191094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HILLSIDE DR",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HILLSIDE DR",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441721",
            "telephone_number": "207-745-7973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Forest Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mifflinburg",
            "state": "PA",
            "postal_code": "178447066",
            "country_code": "US",
            "telephone_number": "570-966-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "JESSICA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI1028",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN010329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HEACOCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Saco Bay Orthopaedic and Sports Physical Therapy, Inc. (Saco Bay Orthopaedic Sports & Physical Therapy)
• Katherine Anne Saunders, NP-C
• Jon Simms, PHARMD.
• Sisters of the Heart
• Sisters of the Heart
• Fleshia Marie Smith-Dow, IPDH
• Kristyn Harriman Smith, LCPC-C
• Miranda Lauren Smith, FNP-BC
• Speech Solutions L.L.C.
• Sarah Stansauk

• Registered Dietitian in Hampden, ME
• Providers in Hampden, ME by specialty
• Registered Dietitian in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.