Individual provider Active NPI

Nancy Thomas Smith, MS, RD, CDE, LD/N

  • Registered Dietitian
  • Tallahassee, FL
National Provider Identifier
1386991792
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND 1146 Issued in FL
Practice address
1981 Capital Cir NE
Tallahassee, FL 32308-4421
Phone
(850) 431-4706
Fax
(850) 431-4711
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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 ND 1146 FL Primary

Addresses

Primary practice location

1981 Capital Cir NE
Tallahassee, FL 32308-4421

Mailing address

1981 Capital Cir NE
Tallahassee, FL 32308-4421
Phone (850) 431-4706

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130529000723 FL Practitioner - Registered Dietitian Or Nutrition Professional 1557509734 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ND 1146FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince Apr 30, 2018 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Apr 30, 2018 Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

1309 Thomasville Rd
Tallahassee, FL 32303
Phone (850) 431-5910

2633 Centennial Blvd
Tallahassee, FL 32308
Phone (850) 877-7387

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

2633 Centennial Blvd
Ste 100
Tallahassee, FL 32308
Phone (850) 431-5404

1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243

1981 Capital Cir NE
Tallahassee, FL 32308
Phone (850) 738-7977

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1386991792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 CAPITAL CIR NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084421",
            "telephone_number": "850-431-4706",
            "fax_number": "850-431-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 CAPITAL CIR NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084421",
            "telephone_number": "850-431-4706",
            "fax_number": "850-431-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NANCY",
        "middle_name": "THOMAS",
        "credential": "MS, RD, CDE, LD/N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 1146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.