Active NPI
Jennifer C. Smith, RD
- Registered Dietitian
- Madison, WI
National Provider Identifier
1346211661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2356-29
- Practice address
- 752 N High Point Rd
Madison, WI 53717-2236 - Phone
- (608) 824-4000
- NPI assigned
- Jan 27, 2006
- 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 | 2356-29 | WI | Primary |
Addresses
Primary practice location
752 N High Point Rd
Madison, WI 53717-2236
Mailing address
752 N High Point Rd
Madison, WI 53717-2236
Phone (608) 824-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61138 | Other | WI | DEAN HEALTH INSURANCE |
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 |
|---|---|---|---|
| 2356-29 | WI | MD | Registered Dietitian |
| 2356 | WI | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1346211661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "752 N HIGH POINT RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537172236",
"telephone_number": "608-824-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "752 N HIGH POINT RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537172236",
"telephone_number": "608-824-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JENNIFER",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "2356-29",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "61138",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.