Active NPI
Kimberly Dunsmore Smith, R.D.
- Registered Dietitian
- Stanley, NC
National Provider Identifier
1386085579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L002126
- Practice address
- 3020 Tranquility CT
Stanley, NC 28164-9408 - Phone
- (704) 616-5354
- NPI assigned
- Jul 16, 2013
- 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 | L002126 | NC | Primary |
Addresses
Primary practice location
3020 Tranquility CT
Stanley, NC 28164-9408
Mailing address
3020 Tranquility CT
Stanley, NC 28164-9408
Phone (704) 616-5354
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 |
|---|---|---|---|
| L002126 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fuel 4 Life | 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": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1386085579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 TRANQUILITY CT",
"city": "STANLEY",
"state": "NC",
"postal_code": "281649408",
"telephone_number": "704-616-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 TRANQUILITY CT",
"city": "STANLEY",
"state": "NC",
"postal_code": "281649408",
"telephone_number": "704-616-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KIMBERLY",
"middle_name": "DUNSMORE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-16",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L002126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanley, NC
- Sentry Drug Center 3, LLC
- Sentry Drug Center 3, LLC Dba Familymed Pharmacy (FamilyMed Pharmacy)
- Carlee Jo Seybert
- Michael Randolph Sikes, PA-C
- Jodie Lee Silver, D.C.
- India Monet Springfield, LCSWA
- Stanley Total Living Center
- Stanley Total Living Center
- Stanley Total Living Center, Inc
- Steady Care Transport, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.