Active NPI
Megan Brooke Smith, RDN/LD
- Registered Dietitian
- Vernon, TX
National Provider Identifier
1316222326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT82821
- Practice address
- 920 Hillcrest Dr
Vernon, TX 76384-3196 - Phone
- (940) 553-2106
- NPI assigned
- Oct 21, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Registered Dietitian | 133V00000X | DT82821 | TX | Primary |
Addresses
Primary practice location
920 Hillcrest Dr
Vernon, TX 76384-3196
Mailing address
4221 Maple St
Vernon, TX 76384-3117
Phone (405) 271-5501
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1800 | OK | MD | Chiropractor |
| DT82821 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sodexo Operations LLC | 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": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1316222326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 MAPLE ST",
"city": "VERNON",
"state": "TX",
"postal_code": "763843117",
"telephone_number": "405-271-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 HILLCREST DR",
"city": "VERNON",
"state": "TX",
"postal_code": "763843196",
"telephone_number": "940-553-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MEGAN",
"middle_name": "BROOKE",
"name_prefix": "Ms.",
"credential": "RDN/LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-21",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT82821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.