Active NPI
Julia Rhinehart Smith, LDN,CDCES
- Metabolic Nutrition Registered Dietitian
- Wilmington, NC
National Provider Identifier
1962508390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- L001129
- Practice address
- 1705 Gardner Dr
Wilmington, NC 28405-8873 - Phone
- (910) 343-5300
- NPI assigned
- Sep 15, 2006
- 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 |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | L001129 | NC | Primary |
Addresses
Primary practice location
1705 Gardner Dr
Wilmington, NC 28405-8873
Mailing address
2006 Little Palm Way
Wilmington, NC 28409-4628
Phone (910) 617-0617
Other practice location 1
1612 Doctors Cir
Wilmington, NC 28401-7406
Phone (910) 762-9701
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 |
|---|---|---|---|
| L001129 | NC | MD | Metabolic Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Endocrinology and Diabetes PLLC | 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.
-
dba Ped
- Medical Specialty Clinic/Center
- Wilmington, NC
- NPI 1801813456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1962508390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 LITTLE PALM WAY",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284094628",
"telephone_number": "910-617-0617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 GARDNER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284058873",
"telephone_number": "910-343-5300"
}
],
"practiceLocations": [
{
"address_1": "1612 Doctors Cir",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017406",
"country_code": "US",
"telephone_number": "910-762-9701",
"fax_number": "910-762-9705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JULIA",
"middle_name": "RHINEHART",
"credential": "LDN,CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NC",
"license": "L001129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.