Active NPI
Laura Marie Smith, RD
- Registered Dietitian
- Arcata, CA
National Provider Identifier
1811139934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 922295
- Practice address
- 1600 Weeot Way
Arcata, CA 95521-4734 - Phone
- (707) 825-5000
- Fax
- (707) 825-5035
- NPI assigned
- Apr 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 922295 | AL | Primary |
Addresses
Primary practice location
1600 Weeot Way
Arcata, CA 95521-4734
Mailing address
1600 Weeot Way
Arcata, CA 95521-4734
Phone (707) 825-5000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 922295 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Indian Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community Health Clinic/Center
- Arcata, CA
- NPI 1699506121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238716800000",
"number": "1811139934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 WEEOT WAY",
"city": "ARCATA",
"state": "CA",
"postal_code": "955214734",
"telephone_number": "707-825-5000",
"fax_number": "707-825-5035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 WEEOT WAY",
"city": "ARCATA",
"state": "CA",
"postal_code": "955214734",
"telephone_number": "707-825-5000",
"fax_number": "707-825-5035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LAURA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-03",
"last_updated": "2009-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "922295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.