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

1144882820 — SEAN MOFFITT
Practice Location Address:

912 N ELM ST
GREENSBORO, NC
27401-1513

Practice Phone: 336-298-1118
Practice Fax:

1457924052 — NICOLE YVETTE MOORE LCAS
Practice Location Address:

301 N ELM ST STE 638
GREENSBORO, NC
27401-2083

Practice Phone: 336-662-7724
Practice Fax:

1124717251 — LAUREN ELIZABETH HANLEY
Practice Location Address:

301 E WENDOVER AVE STE 400
GREENSBORO, NC
27401-1207

Practice Phone: 336-832-3150
Practice Fax: 336-832-3152

1710819768 — ZACHARY ALEXANDER GUSLER PA-C
Practice Location Address:

1121 N CHURCH ST
GREENSBORO, NC
27401-1007

Practice Phone: 336-207-7005
Practice Fax:

1043742562 — DR. ANNA LANE BALDWIN MD
Practice Location Address:

1200 N ELM ST
GREENSBORO, NC
27401-1004

Practice Phone: 336-832-7000
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.