Individual provider Active NPI

Juliet Smith, RDN, LD

  • Registered Dietitian
  • Wichita Falls, TX
National Provider Identifier
1982287520
Registry record updated May 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT81505 Issued in TX
Practice address
4824 Olivia LN
Wichita Falls, TX 76310-2882
Phone
(325) 829-7785
NPI assigned
May 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT81505 TX Primary

Addresses

Primary practice location

4824 Olivia LN
Wichita Falls, TX 76310-2882

Mailing address

4824 Olivia LN
Wichita Falls, TX 76310-2882
Phone (325) 829-7785

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://myelement.vsee.me/u/clinicians.com

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

State licenses

LicenseStateTypeSpecialty
DT81505TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619913600000",
    "number": "1982287520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 OLIVIA LN",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102882",
            "telephone_number": "325-829-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 OLIVIA LN",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102882",
            "telephone_number": "325-829-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JULIET",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://myelement.vsee.me/u/clinicians.com",
            "affiliation": "N",
            "endpointDescription": "Online Clinic",
            "address_1": "4824 Olivia Ln",
            "city": "Wichita Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763102882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.