Individual provider Active NPI

Lauren Elizabeth Smith, RDN

  • Registered Dietitian
  • Newtown Square, PA
National Provider Identifier
1124670039
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN006857 Issued in PA
Practice address
18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240
Phone
(267) 835-0575
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN006857 PA Primary

Addresses

Primary practice location

18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240

Mailing address

1076 Clipper Mill Dr
West Chester, PA 19382-5291

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 4848882927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN006857PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Smith Nutrition Coaching LLC Dietitian, Registered CurrentSince Mar 24, 2025 Accepting new patients
Aquahab, LP Past Accepting new patients
Progress Physical Therapy LLC PastSince Jun 6, 2022 Accepting new patients

Locations

18 Campus Blvd
Ste 100
Newtown Square, PA 19073
Phone (484) 680-7575

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1124670039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 CLIPPER MILL DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CAMPUS BLVD STE 100",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733240",
            "telephone_number": "267-835-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4848882927",
            "affiliation": "N",
            "address_1": "1076 Clipper Mill Dr",
            "city": "West Chester",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193825291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.