Individual provider Active NPI

Ashley Smalley, MS, RD, LD

  • Registered Dietitian
  • Freeport, ME
National Provider Identifier
1487080198
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI1322 Issued in ME
Practice address
491 US-1 Suite 22
Freeport, ME 04032
Phone
(207) 200-5044
Fax
(207) 544-5136
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 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 DI1322 ME Primary

Addresses

Primary practice location

491 US-1 Suite 22
Freeport, ME 04032

Mailing address

491 US Route 1 Ste 22
Freeport, ME 04032-7022
Phone (207) 200-5044

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DI1322MEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Smalley Nutrition, LLC Dietitian, Registered CurrentSince Apr 16, 2023 Accepting new patients

Locations

5 Depot St
Ste 12
Freeport, ME 04032

491 US Route 1
Ste 22
Freeport, ME 04032
Phone (207) 200-5044

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1487080198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 US ROUTE 1 STE 22",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327022",
            "telephone_number": "207-200-5044",
            "fax_number": "207-544-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 US-1 SUITE 22",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "04032",
            "telephone_number": "207-200-5044",
            "fax_number": "207-544-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI1322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.