Active NPI
Angela Billups Smith, R.D., L.D.
- Registered Dietitian
- Columbia, SC
National Provider Identifier
1649435546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 890432
- Practice address
- 3604 Fernandina Rd
Suite 204
Columbia, SC 29210-5221 - Phone
- (803) 414-3696
- NPI assigned
- Jul 21, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 890432 | SC | Primary |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 462 | SC |
Addresses
Primary practice location
3604 Fernandina Rd
Suite 204
Columbia, SC 29210-5221
Mailing address
266 Charlwood Rd
Irmo, SC 29063-2303
Phone (803) 414-3696
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 |
|---|---|---|---|
| 890432 | SC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1649435546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 CHARLWOOD RD",
"city": "IRMO",
"state": "SC",
"postal_code": "290632303",
"telephone_number": "803-414-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3604 FERNANDINA RD",
"address_2": "SUITE 204",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292105221",
"telephone_number": "803-414-3696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ANGELA",
"middle_name": "BILLUPS",
"credential": "R.D., L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "890432",
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "SC",
"license": "462",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.