Heidi Marie Smith, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN007672 Issued in PA

Practice address

3711 Long Beach Blvd Ste 904
Long Beach, CA 90807-3324

Phone

(562) 424-4055

Fax

(866) 403-6068

NPI assigned

Mar 5, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Butler Medical Providers

  • Gastroenterology Physician
  • Butler, PA
  • NPI 1619493046
  Medicare reassignment NPD
• Butler Medical Providers

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Butler, PA
  • NPI 1366082067
  NPD
• Butler Medical Providers

  • Rural Health Clinic/Center
  • Fairmount City, PA
  • NPI 1386253854
  NPD
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1891442208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 LONG BEACH BLVD STE 904",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073324",
            "telephone_number": "562-424-4055",
            "fax_number": "866-403-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 LONG BEACH BLVD STE 904",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073324",
            "telephone_number": "562-424-4055",
            "fax_number": "866-403-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Charles Smith, M.D.
• Francesca C Smith, PMHNP
• Frederick L Smith, D.D.S
• Gabriel Ernest Smith, MASTER OF SCIENCE PA
• Gretchen Donnel Smith, MPPA
• Jacqueline M Smith
• Karina Smith
• Kathleen Marie Smith, OTR/L
• Keeya Smith
• Kimisha Smith

• Registered Dietitian in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.