Rebecca Moffitt Smith, MS, RD, LD
Individual provider Active NPI Registered Dietitian · Madawaska, ME
NPI 1780769745 · NPPES record last updated Aug 19, 2022
Key facts
- NPI
- 1780769745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DI840 (ME)
- Practice address
- 309 Saint Thomas St Ste 213
Madawaska, ME 04756-1278 - Phone
- (207) 728-3971
- Fax
- (207) 728-3970
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fish River Rural Health
Practice addresses (Care Compare)
12 Bolduc Ave
Fort Kent, ME 04743-1602
Phone (207) 444-5973
381 Main St
Madawaska, ME 04756-1112
Phone (207) 444-5973
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041213000885 | ME | Practitioner - Registered Dietitian Or Nutrition Professional | 9234196197 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fish River Rural Health | Current |
Accepting new patients | |
| Fish River Rural Health | Current |
Accepting new patients |
Locations
10 Carter St
Eagle Lake, ME 04739
Phone (207) 444-5973
12 Bolduc Ave
Fort Kent, ME 04743
Phone (207) 834-3012
3 Mountainview Dr
Fort Kent, ME 04743
Phone (207) 834-1573
309 Saint Thomas St
Madawaska, ME 04756
Phone (207) 728-4779
309 Saint Thomas St
Ste 213
Madawaska, ME 04756
Phone (207) 728-3971
Interoperability endpoints
- rebecca.smith.1@10077.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI840 | ME | Yes |
Addresses
Primary practice location
309 Saint Thomas St Ste 213
Madawaska, ME 04756-1278
Mailing address
309 Saint Thomas St Ste 213
Madawaska, ME 04756-1278
Phone (207) 728-3971
Other providers in Madawaska, ME
- Daniel J Ringuette
- Rite Aid of Maine Inc
- Brittney Short
- Silwana Sidorczuk
- Small Steps Physical Therapy
- St John Valley Associates, Inc.
- St John Valley Dental Center
- Melissa Stoliker
- Melana Lynn Tardiff
- Camiesha Terry
All providers in Madawaska, ME · Registered Dietitian in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.