Active NPI
Martha Ruth Smallwood, RDN
- Registered Dietitian
- Abilene, TX
National Provider Identifier
1629523550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT00072
- Practice address
- 1526 Newcastle Dr
Abilene, TX 79601-3917 - Phone
- (325) 677-5649
- Fax
- (325) 674-6788
- NPI assigned
- Aug 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | DT00072 | TX | Primary |
Addresses
Primary practice location
1526 Newcastle Dr
Abilene, TX 79601-3917
Mailing address
1526 Newcastle Dr
Abilene, TX 79601-3917
Phone (325) 677-5649
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 |
|---|---|---|---|
| DT00072 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471737600000",
"number": "1629523550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526 NEWCASTLE DR",
"city": "ABILENE",
"state": "TX",
"postal_code": "796013917",
"telephone_number": "325-677-5649",
"fax_number": "325-674-6788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 NEWCASTLE DR",
"city": "ABILENE",
"state": "TX",
"postal_code": "796013917",
"telephone_number": "325-677-5649",
"fax_number": "325-674-6788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLWOOD",
"first_name": "MARTHA",
"middle_name": "RUTH",
"name_prefix": "Dr.",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-21",
"last_updated": "2016-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT00072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.