MEDICARE: MRS. JESSICA HOPPOCK-SMITH MS, RD, LD

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	133VN1005X	Renal Nutrition Registered Dietitian	1716	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1716	OTHER	OK	OKLAHOMA BOARD OF MEDICAL LICENSURE AND SUPERVISION

General Provider Information

NPI Number	:	1871132928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JESSICA HOPPOCK-SMITH MS, RD, LD

Provider Business Mailing Address
First Line	:	608 E AMELIA TER
Second Line	:
City	:	MUSTANG
State	:	OK
Zip	:	73064-6404
Country	:	US
Telephone Number	:	316-393-7807
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 NE 8TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5800
Country	:	US
Telephone Number	:	405-236-3043
Fax Number	:	405-239-2390

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

Provider Enumeration Date	:	01/06/2020
Last Update Date	:	11/27/2023

Similar Medicare Providers

1093777344 — DVA RENAL HEALTHCARE INC
Practice Location Address:

925 NE 8TH ST
OKLAHOMA CITY, OK
73104-5800

Practice Phone: 405-236-3043
Practice Fax: 405-239-2390

1588516637 — JORDAN CLAYTON TAYLOR BERRY
Practice Location Address:

5800 NW 34TH ST APT B22
OKLAHOMA CITY, OK
73122-1648

Practice Phone: 405-235-5671
Practice Fax:

1194758540 — DR. JEROME ANTHONY MCTAGUE MD, JD
Practice Location Address:

2200 N CLASSEN BLVD , SUITE 1403
OKLAHOMA CITY, OK
73106-5800

Practice Phone: 419-461-1057
Practice Fax:

1023268000 — MR. GERALD WAYNE SCOTT B.A.
Practice Location Address:

2200 N CLASSEN BLVD STE E
OKLAHOMA CITY, OK
73106-5800

Practice Phone: 405-528-1748
Practice Fax: 405-528-1802

1942582069 — LUZ DARY FLEENOR
Practice Location Address:

5800 CREEKMORE DR
OKLAHOMA CITY, OK
73179-7904

Practice Phone: 405-819-6830
Practice Fax:

1962768143 — COMPREHENSIVE DIAGNOSTIC IMAGING, LLC
Practice Location Address:

5800 NORTH PORTLAND AVENUE
OKLAHOMA CITY, OK
73112

Practice Phone: 405-601-4500
Practice Fax:

Directions to “ MRS. JESSICA HOPPOCK-SMITH MS, RD, LD” 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.