Individual provider Active NPI

Rebecca Moffitt Smith, MS, RD, LD

  • Registered Dietitian
  • Madawaska, ME
National Provider Identifier
1780769745
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI840 Issued in 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
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 DI840 ME Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000885 ME Practitioner - Registered Dietitian Or Nutrition Professional 9234196197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 HealthGroup PAC ID 3577531953, shared by 6 NPIs, 21 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Fish River Rural Health CurrentSince Jul 25, 2022 Accepting new patients
Fish River Rural Health CurrentSince Jul 25, 2022 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

  • Direct secure messaging: rebecca.smith.1@10077.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1780769745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SAINT THOMAS ST STE 213",
            "city": "MADAWASKA",
            "state": "ME",
            "postal_code": "047561278",
            "telephone_number": "207-728-3971",
            "fax_number": "207-728-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SAINT THOMAS ST STE 213",
            "city": "MADAWASKA",
            "state": "ME",
            "postal_code": "047561278",
            "telephone_number": "207-728-3971",
            "fax_number": "207-728-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBECCA",
        "middle_name": "MOFFITT",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madawaska, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.