MARY M SMOAK


Address: Medical Center Blvd, Winston-salem, NC 27157-0001
Phone: 3367162255

MARY M SMOAK (NPI# 1073597449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073597449
Entity Type Individual
Full Name MARY M SMOAK
Credential RD
Practice Address Medical Center Blvd
Winston-salem
NC 27157-0001
Mailing Address Po Box 344
Winston Salem
NC 27102-0344
Practice Telephone 3367162255
Mailing Telephone 3367162255
Enumeration Date 2005-11-30
Last Update Date 2007-12-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered L001249 NC Dietary & Nutritional Service Providers

Office Location

Street Address MEDICAL CENTER BLVD
City WINSTON-SALEM
State NC
Zip Code 27157-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013365758 Trevor James Tyner Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston-salem, NC 27103 2016-06-02
1245685866 Megan Brock Student in an Organized Health Care Education/Training Program Medical Center Blvd, Wake Forest Baptist Medical Center, Dept of Pediatrics, Winston-salem, NC 27157 2016-05-02
1871961573 Daniel Smith Nurse Anesthetist, Certified Registered Medical Center Blvd, Winston-salem, NC 27157-0001 2015-09-11
1265819692 Maria-carolina Orbay Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston-salem, NC 27103 2015-05-06
1053707307 Brent Frederick Hospitalist Medical Center Blvd, Winston-salem, NC 27157 2015-04-14
1720491889 Tiffany Earle Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston-salem, NC 27103 2014-06-06
1881822856 Christopher James Edwards Anesthesiology Medical Center Blvd, Wake Forest University, Baptist Medical Center, Winston-salem, NC 27157 2009-06-29
1245408988 Archana Manoj Shah Anesthesiology Medical Center Blvd, Winston-salem, NC 27157-0001 2008-02-15
1962684514 Christina Natale Condon Nurse Practitioner Medical Center Blvd, Winston-salem, NC 27157-0001 2007-12-05
1790966356 Hirenkumar Babubhai Patel Pediatrics Medical Center Blvd, Winston-salem, NC 27157-1184 2007-11-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255960241 Alexandra Marie Balmaceda Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 2020-04-02
1164916680 Jorie Elizabeth Gatts Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 2018-06-18
1932606555 Alexi Rae Ellington Webb Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-04-10
1851896674 Wasim Muhammad Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-03-25
1336643535 Phillip Martin Kostelic Student in an Organized Health Care Education/Training Program Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 2018-03-21
1831693324 Aleah Bond Student in an Organized Health Care Education/Training Program Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 2018-03-20
1134644859 Ilan Binyamin Klein Urology Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 2017-08-03
1023467529 Edward John Doyle IIi Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 2016-06-07
1477917888 Jordan Mae Burner Student in an Organized Health Care Education/Training Program Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 2016-04-12
1174900476 Kate Elise Winterbottom Speech-Language Pathologist 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 2015-05-06
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437110186 Joseph Christian Pardue Dietitian, Registered 190 Kimel Park Dr, Winston-salem, NC 27103-6946 2006-03-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770184947 Freely Fed Dietitian, Registered 1532 Wickerby Ct, Matthews, NC 28105-0322 2020-11-04
1023618774 Shannon Vasilinda Dietitian, Registered 450 Lake Royale, Louisburg, NC 27549-9565 2020-10-30
1154921997 Lauren Annelise Prigge Dietitian, Registered 3636 Castlegate Dr, Raleigh, NC 27616-9551 2020-10-30
1659971406 Lauren Rubio-serrano Dietitian, Registered 21 Mount Vernon Cir, Asheville, NC 28804-2439 2020-10-30
1336749407 Doretta Wright Dietitian, Registered 110 Highgrove Ct, Aberdeen, NC 28315-2149 2020-10-28
1003414756 Christy Nell Quirk Dietitian, Registered 117 Oldham Pl, Chapel Hill, NC 27516-9004 2020-10-14
1801493291 Fuel Nc Nutrition Dietitian, Registered 1107 Capital Blvd, Raleigh, NC 27603-1113 2020-10-08
1033716436 Katherine Openshaw Dietitian, Registered 521 Walnut Creek Dr, Goldsboro, NC 27534-8997 2020-10-08
1184221665 Jennifer M Ritchie Dietitian, Registered 4306 Kimmeridge Rd, Greensboro, NC 27406-9303 2020-10-07
1659978245 Jaclyn Lee Atwater Dietitian, Registered 415 Yucca Ln, Wilmington, NC 28412-1042 2020-10-06
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Competitor

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City WINSTON-SALEM
Zip Code 27157

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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