Alyssa Marie Smith | Washington, DC • PECOS Search

Alyssa Marie Smith

Dietitian, Registered

Dietary & Nutritional Service Providers

111 Michigan Ave NW, Food And Nutrition, Washington, DC 20010-2916

PECOS Enrollment

Based on the most recent information from CMS, provider Alyssa Marie Smith does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1205251527
Provider Type
Individual
Full Name
Smith, Alyssa Marie
Credential
RD

Gender
Female
Sole Proprietor
No
Enumeration Date
2/24/2014
Last Updated
2/24/2014

Contact Information

Practice Location

111 Michigan Ave NW, Food And Nutrition, Washington, DC 20010-2916

(202) 476-6295

Mailing Location

111 Michigan Ave NW, Food And Nutrition, Washington, DC 20010-2916

(202) 476-6295

Provider Taxonomies

Code	Description	License
Code 133V00000X Primary	Description Dietitian, Registered Dietary & Nutritional Service Providers	License DI100000584 District of Columbia