Anna J Smith, RD, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37001431A Issued in IN

Practice address

1319 Missouri Ave
Jeffersonville, IN 47130-3726

Phone

(812) 283-2077

Fax

(812) 283-2411

NPI assigned

Aug 27, 2010

Last updated

Aug 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Clark Physician Group LLC

  • Family Medicine Physician
  • Jeffersonville, IN
  • NPI 1396901104
  NPD (past)
• Norton Clark Hospital, LLC

  dba Norton Clark Hospital

  • General Acute Care Hospital
  • Jeffersonville, IN
  • NPI 1134186315
  NPD (past)

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1801102876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 E 10TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471306016",
            "telephone_number": "812-285-5923",
            "fax_number": "812-280-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 MISSOURI AVE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303726",
            "telephone_number": "812-283-2077",
            "fax_number": "812-283-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANNA",
        "middle_name": "J",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37001431A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Nicole Slinker, DMD
• Adam Smalley, PHARMD
• Alejandra Smith, RBT
• Amy Lee Smith, FNP-C
• Angela Smith
• Christina Smith
• Christopher Ew Smith, MD
• Dennis N. Smith, MD
• Ebony Smith, RBT
• Heather Smith

• Registered Dietitian in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.