Stacie Smith, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1317 Lake Pointe Pkwy
Sugar Land, TX 77478-3997

Phone

(281) 637-7000

NPI assigned

Jul 3, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Revitalized Health and Wellness Counseling

  • Registered Dietitian
  • Missouri City, TX
  • NPI 1760115109

  Dietitian, Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1003549510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 GRANTS LAKE BLVD UNIT 17863",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774960887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 LAKE POINTE PKWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783997",
            "telephone_number": "281-637-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2539 Granberry Pt",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774591389",
            "country_code": "US",
            "telephone_number": "281-794-4539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACIE",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-03",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avis M Smith, ED. D
• Dana S Smith, PHD, LCSW
• Kirk Alan Smith, LSA
• Marcia Demarje Smith
• Robert B Smith, PA-C
• Toussaint Smith, MD
• Smouse Chiropractic & Scoliosis Center
• Gary F. Smouse, D.C.
• Stephanie Michelle Smouse, D.C.
• Sneak-a-Pic LLC

• Registered Dietitian in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.