Active NPI
Marisa Woodall Smith, RD
- Registered Dietitian
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3119
- Practice address
- 615 Main St Ste M1
Nashville, TN 37206-3603 - Phone
- (615) 709-0903
- Fax
- (855) 634-2216
- NPI assigned
- Aug 31, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 167733 | KY | |
| Registered Dietitian | 133V00000X | LD006164 | GA | |
| Registered Dietitian | 133V00000X | 4093 | AL | |
| Registered Dietitian | 133V00000X | 3119 | TN | Primary |
Addresses
Primary practice location
615 Main St Ste M1
Nashville, TN 37206-3603
Mailing address
615 Main St Ste M1
Nashville, TN 37206-3603
Phone (615) 709-0903
Other practice location 1
506 Neelys Bend Rd
Madison, TN 37115-4923
Phone (615) 943-8025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN, AL, GA
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
615 Main St
Suite M1
Nashville, TN 37206-3603
Phone (615) 709-0903
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3119 | TN | MD | Clinical Child & Adolescent Psychologist |
| LD006164 | GA | MD | Registered Dietitian |
| 4093 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietitian Group, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
615 Main St
Ste M1
Nashville, TN 37206
Phone (615) 709-0903
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1316493083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 MAIN ST STE M1",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372063603",
"telephone_number": "615-709-0903",
"fax_number": "855-634-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 MAIN ST STE M1",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372063603",
"telephone_number": "615-709-0903",
"fax_number": "855-634-2216"
}
],
"practiceLocations": [
{
"address_1": "506 Neelys Bend Rd",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "TN",
"postal_code": "371154923",
"country_code": "US",
"telephone_number": "615-943-8025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "MARISA",
"middle_name": "WOODALL",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "167733",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD006164",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "4093",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "3119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.