Individual provider Active NPI

Ashley Lynn Smith, RD,LD,CDE

  • Registered Dietitian
  • Las Vegas, NV
National Provider Identifier
1326356551
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
983979 Issued in IL
Practice address
6330 S Pecos Rd Ste 110
Las Vegas, NV 89120-6216
Phone
(360) 481-7176
NPI assigned
Sep 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 983979 CA
Registered Dietitian 133V00000X 983979 IL Primary

Addresses

Primary practice location

6330 S Pecos Rd Ste 110
Las Vegas, NV 89120-6216

Mailing address

2675 Windmill Pkwy Apt 3623
Henderson, NV 89074-7314
Phone (360) 481-7176

Other practice location 1

22865 Brentwood St
Grand Terrace, CA 92313-4908
Phone (360) 481-7176

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

LicenseStateTypeSpecialty
983979CAMDRegistered Dietitian
983979ILMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1326356551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINDMILL PKWY APT 3623",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747314",
            "telephone_number": "360-481-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 S PECOS RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891206216",
            "telephone_number": "360-481-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22865 Brentwood St",
            "address_purpose": "LOCATION",
            "city": "Grand Terrace",
            "state": "CA",
            "postal_code": "923134908",
            "country_code": "US",
            "telephone_number": "360-481-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "credential": "RD,LD,CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "983979",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "983979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.