Active NPI
Jessica Hoppock-Smith, MS, RD, LD
- Renal Nutrition Registered Dietitian
- Oklahoma City, OK
National Provider Identifier
1871132928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 1716
- Practice address
- 925 NE 8TH St
Oklahoma City, OK 73104-5800 - Phone
- (405) 236-3043
- Fax
- (405) 239-2390
- NPI assigned
- Jan 6, 2020
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 1716 | OK | Primary |
Addresses
Primary practice location
925 NE 8TH St
Oklahoma City, OK 73104-5800
Mailing address
608 E Amelia Ter
Mustang, OK 73064-6404
Phone (316) 393-7807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1716 | Other | OK | OKLAHOMA BOARD OF MEDICAL LICENSURE AND SUPERVISION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica.hoppock-smith@davita.com | DaVita, Inc. |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1716 | OK | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dva Renal Healthcare Inc | Past | Accepting new patients | |
| Dva Renal Healthcare Inc | Past | Accepting new patients |
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.
-
dba Heartland Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Oklahoma City, OK
- NPI 1093777344
-
dba Red Mountain Home Training Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Birmingham, AL
- NPI 1629415609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1871132928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 E AMELIA TER",
"city": "MUSTANG",
"state": "OK",
"postal_code": "730646404",
"telephone_number": "316-393-7807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 NE 8TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045800",
"telephone_number": "405-236-3043",
"fax_number": "405-239-2390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPPOCK-SMITH",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-06",
"last_updated": "2023-11-27",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "OK",
"license": "1716",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA BOARD OF MEDICAL LICENSURE AND SUPERVISION",
"identifier": "1716",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessica.hoppock-smith@davita.com",
"affiliation": "Y",
"affiliationName": "DaVita, Inc.",
"address_1": "925 NE 8th St",
"city": "Oklahoma City",
"state": "OK",
"country_code": "US",
"postal_code": "731045800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.