Heather Dawn Smith-Kenney, LICENSED DIETITIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1538 Issued in OK

Practice address

1000 N Lee Ave
Oklahoma City, OK 73102-1036

Phone

(405) 272-7102

NPI assigned

Jan 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Heather Dawn Smith-Kenney Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1992345672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 NW 54TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127756",
            "telephone_number": "405-412-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N LEE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021036",
            "telephone_number": "405-272-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-KENNEY",
        "first_name": "HEATHER",
        "middle_name": "DAWN",
        "credential": "LICENSED DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "SMITH-KENNEY",
            "middle_name": "DAWN",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bradley Smiling, MD
• Elias Smirlis, MD
• Smith Home Care LLC
• Camryn Smith- Talamantes
• Lakessha Smith-Johnson, LCSW
• Velma Smith-Mays, MA, LADC CANDIDATE
• Rachel L Smith-Richardson, LPC-C
• Adam Lawrence Smith, DDS
• Allysia Nicole Smith
• Alyssa R Smith, APRN-PMHNP-BC

• Registered Dietitian in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.