Dessarae Nicole Smith, R.D.N., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3470 Issued in MN

Practice address

895 7TH St E
Saint Paul, MN 55106-3871

Phone

(651) 793-2231

NPI assigned

Dec 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Dessarae Nicole Erickson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1609274141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 7TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 7TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063871",
            "telephone_number": "651-793-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DESSARAE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "R.D.N., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESSARAE",
            "last_name": "ERICKSON",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Lynn Smith, BS, LADC
• Clark M Smith II, MD
• Coleman I Smith, MD
• Damion Smith
• Daniel Smith, LADC
• George Smith, MD
• Geralyn Ann Smith, R.N.
• Gregory James Smith, D.D.S.
• Gregory W Smith, PHARMD.
• James Donald Smith

• Registered Dietitian in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.