Active NPI
Rickeya Smith, RDN
- Registered Dietitian
- Virginia Beach, VA
National Provider Identifier
1295285062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1200 Atlantic Shores Dr
Virginia Beach, VA 23454-7311 - Phone
- (757) 716-2000
- Fax
- (757) 716-2019
- NPI assigned
- Oct 5, 2016
- 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 | Primary |
Addresses
Primary practice location
1200 Atlantic Shores Dr
Virginia Beach, VA 23454-7311
Mailing address
516 Kings Gate
Chesapeake, VA 23320-7904
Phone (757) 609-8531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1097797 | Other | AND CDR ID NUMBER |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1295285062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 KINGS GATE",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233207904",
"telephone_number": "757-609-8531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 ATLANTIC SHORES DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234547311",
"telephone_number": "757-716-2000",
"fax_number": "757-716-2019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RICKEYA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-05",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AND CDR ID NUMBER",
"identifier": "1097797",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.