MEDICARE: MRS. ELISA A SMITH RDN LDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	L004938	NC

General Provider Information

NPI Number	:	1679086565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELISA A SMITH RDN LDN

Provider Business Mailing Address
First Line	:	2941 BATTLEGROUND AVE UNIT 39194
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27438-1004
Country	:	US
Telephone Number	:	336-601-6287
Fax Number	:

Provider Business Practice Location Address
First Line	:	229 N GREENE ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-2410
Country	:	US
Telephone Number	:	336-601-6287
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2017
Last Update Date	:	11/15/2018

Similar Medicare Providers

1760405385 — MS. DAISY MARIE KOVACH M.S., ATC
Practice Location Address:

900 SPRING GARDEN ST , 136 HHP BUILDING, UNCG ATHLETICS
GREENSBORO, NC
27403-2410

Practice Phone: 336-334-5925
Practice Fax: 336-256-0407

1811840366 — HUMANITY SOLUTIONS, LLC
Practice Location Address:

8 CHARITY CT
GREENSBORO, NC
27401-4671

Practice Phone: 336-500-5939
Practice Fax:

1811770548 — DRAVEN BRIANNA WARD LCSWA, LCASA
Practice Location Address:

1101 CAROLINA ST
GREENSBORO, NC
27401-1318

Practice Phone: 336-333-6860
Practice Fax: 336-275-1187

1831488022 — HARRY SUGGS JR. LCAS
Practice Location Address:

1101 CAROLINA ST
GREENSBORO, NC
27401-1318

Practice Phone: 336-333-6860
Practice Fax: 336-275-1187

1164375036 — DR. EMMA LYNNE SMITS PHARMD
Practice Location Address:

1200 N ELM ST
GREENSBORO, NC
27401-1004

Practice Phone: 336-832-8059
Practice Fax:

1285786582 — SHAWN D HACKETT LCSW
Practice Location Address:

301 GREEN STREET , SUITE 14
GREENSBORO, NC
27401

Practice Phone: 888-382-7190
Practice Fax:

Directions to “ MRS. ELISA A SMITH RDN LDN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.