Provider Demographics
NPI:1447886007
Name:RD NETWORK
Entity type:Organization
Organization Name:RD NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:H
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, RD, RDN, LDN
Authorized Official - Phone:870-703-4976
Mailing Address - Street 1:6005 WESTGATE DR APT 2221
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-5022
Mailing Address - Country:US
Mailing Address - Phone:870-703-4976
Mailing Address - Fax:855-251-6059
Practice Address - Street 1:6005 WESTGATE DR APT 2221
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-5022
Practice Address - Country:US
Practice Address - Phone:870-703-4976
Practice Address - Fax:855-251-6059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-16
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty