Active NPI
Stacy Smith
- Health Service Clinic/Center
- Dresher, PA
National Provider Identifier
1205374535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- DN005325
- Legal business name
- STACY SMITH
- Practice address
- 3313 Sherwood LN
Dresher, PA 19025-1717 - Phone
- (267) 872-1093
- NPI assigned
- Feb 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacy A Smith, RD, RDN
- Title
- Registered Dietitian
- Phone
- (267) 872-1093
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | DN005325 | PA | Primary |
Addresses
Primary practice location
3313 Sherwood LN
Dresher, PA 19025-1717
Mailing address
3313 Sherwood LN
Dresher, PA 19025-1717
Phone (267) 872-1093
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Dresher, PA
- NPI 1861923849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486425600000",
"number": "1205374535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3313 SHERWOOD LN",
"city": "DRESHER",
"state": "PA",
"postal_code": "190251717",
"telephone_number": "267-872-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3313 SHERWOOD LN",
"city": "DRESHER",
"state": "PA",
"postal_code": "190251717",
"telephone_number": "267-872-1093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STACY SMITH",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "267-872-1093",
"authorized_official_credential": "RD, RDN"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "PA",
"license": "DN005325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dresher, PA
- Ronald Glen Siscoe, DC
- Skinspire Dermatology and Aesthetics P.C.
- Stacy Smith, R.D., L.D.N.
- Special Care Hospice, LLC
- Martina Spinella
- Charla Mervis Stein, RD
- James M Stevenson, DDS
- Symphony Care Solutions (Symphony Healthcare Solutions)
- Thrift Drug Inc (Rite Aid Pharmacy 11104)
- Owen Scott Toale, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.