Individual provider Active NPI

Sherri L. Smith, R.D.

  • Registered Dietitian
  • Pikeville, KY
National Provider Identifier
1700246014
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0504 Issued in KY
Practice address
911 Bypass Rd BLDG a
Pikeville, KY 41501-1689
Phone
(606) 430-2205
Fax
(606) 218-7507
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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 0504 KY Primary

Addresses

Primary practice location

911 Bypass Rd BLDG a
Pikeville, KY 41501-1689

Mailing address

PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-2205

Other names 1

  • Sherri L Blair Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sblair20615@PIKEVILLEKYDIRECT.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160517002639 KY Practitioner - Registered Dietitian Or Nutrition Professional 7719969476 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pikeville Medical Center Inc. CurrentSince Sep 17, 2021 Accepting new patients
Pikeville Medical Center Inc CurrentSince Sep 17, 2021 Accepting new patients
Paintsville Hospital Company, LLC Past Accepting new patients
Pikeville Medical Center Inc PastSince Apr 1, 2021 Accepting new patients

Locations

254 Cassidy Blvd
Pikeville, KY 41501
Phone (606) 432-0077

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

1098 S Mayo Trl
Ste 103
Pikeville, KY 41501
Phone (606) 432-0187

Interoperability endpoints

  • Direct secure messaging: sblair20615@pikevillekydirect.org

Organizations & group practices 4

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": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1700246014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432",
            "telephone_number": "606-430-2205",
            "fax_number": "606-218-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BYPASS RD BLDG A",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011689",
            "telephone_number": "606-430-2205",
            "fax_number": "606-218-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHERRI",
        "middle_name": "L.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "0504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sblair20615@PIKEVILLEKYDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "Direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard direct functionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHERRI",
            "last_name": "BLAIR",
            "middle_name": "L",
            "credential": "R.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.