Active NPI
Heather Noel Smith
- Renal Nutrition Registered Dietitian
- Beaufort, SC
National Provider Identifier
1912525387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 878
- Practice address
- 69 Robert Smalls Pkwy Ste 3D
Beaufort, SC 29906-4275 - Phone
- (843) 271-0806
- NPI assigned
- Jul 11, 2020
- Last updated
- May 28, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 878 | SC | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 878 | SC | Primary |
Addresses
Primary practice location
69 Robert Smalls Pkwy Ste 3D
Beaufort, SC 29906-4275
Mailing address
69 Robert Smalls Pkwy Ste 3D
Beaufort, SC 29906-4275
Phone (843) 271-0806
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | heather@palmettonutritionandkidneycare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210628003516 | SC | Practitioner - Registered Dietitian Or Nutrition Professional | 5698176675 |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
206 Dela Gaye PT
Beaufort, SC 29902-5888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Renal Nutrition Registered Dietitian
- Beaufort, SC
- NPI 1023682200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653696000000",
"number": "1912525387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 ROBERT SMALLS PKWY STE 3D",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299064275",
"telephone_number": "843-271-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 ROBERT SMALLS PKWY STE 3D",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299064275",
"telephone_number": "843-271-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "HEATHER",
"middle_name": "NOEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-11",
"last_updated": "2022-05-28",
"certification_date": "2022-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "878",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "SC",
"license": "878",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "heather@palmettonutritionandkidneycare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "41B Marshellen Dr",
"city": "Beaufort",
"state": "SC",
"country_code": "US",
"postal_code": "299026900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.