Individual provider Active NPI

Jessica Smith

  • Registered Dietitian
  • Saint Joseph, MO
National Provider Identifier
1376377341
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2019032277 Issued in MO
Practice address
201 N Belt Hwy
Saint Joseph, MO 64506-3451
Phone
(515) 695-3338
NPI assigned
Aug 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2019032277 MO Primary

Addresses

Primary practice location

201 N Belt Hwy
Saint Joseph, MO 64506-3451

Mailing address

1849 Gates Dr W
Platte City, MO 64079-7509
Phone (816) 223-3779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912004402 MO Practitioner - Registered Dietitian Or Nutrition Professional 1052851326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hy-Vee Health PCGroup PAC ID 1254701618, 43 clinicians

Practice addresses (Care Compare)

301 NE Rice Rd
Lees Summit, MO 64086-2979
Phone (515) 225-2930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019032277MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hy-Vee Health PC CurrentSince Aug 26, 2024 Accepting new patients
Hy-Vee Health PC Dietitian, Registered CurrentSince Aug 26, 2024 Accepting new patients
Hy-Vee Health PC Past Accepting new patients

Locations

5820 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 453-2784

301 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 251-5760

201 N Belt Hwy
Saint Joseph, MO 64506
Phone (816) 232-9011

1720 W Battlefield St
Springfield, MO 65807
Phone (417) 881-1217

2150 E Sunshine St
Springfield, MO 65804
Phone (417) 444-6861

Organizations & group practices 3

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": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1376377341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 GATES DR W",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640797509",
            "telephone_number": "816-223-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063451",
            "telephone_number": "515-695-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2019032277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.

Verify at the official NPI Registry.