Active NPI
Latorya Lashay Smith, RDN
- Registered Dietitian
- Jackson, MS
National Provider Identifier
1629693759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D1523
- Practice address
- 1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116 - Phone
- (601) 362-4471
- NPI assigned
- Jun 15, 2020
- Last updated
- Nov 27, 2023
- 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 | D1523 | MS | Primary |
Addresses
Primary practice location
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Mailing address
340 Arbor Dr Apt 155
Ridgeland, MS 39157-4814
Phone (662) 722-0653
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | latorya.smith@va.gov | Other | G. V. Sonny Montgomery VA Medical Center |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1523 | MS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1629693759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 ARBOR DR APT 155",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391574814",
"telephone_number": "662-722-0653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E WOODROW WILSON AVE",
"city": "JACKSON",
"state": "MS",
"postal_code": "392165116",
"telephone_number": "601-362-4471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LATORYA",
"middle_name": "LASHAY",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-15",
"last_updated": "2023-11-27",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "D1523",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "latorya.smith@va.gov",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "G. V. Sonny Montgomery VA Medical Center",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "work email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "work email",
"address_1": "1500 E Woodrow Wilson Ave",
"city": "Jackson",
"state": "MS",
"country_code": "US",
"postal_code": "392165116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.