Stacy Smith, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

896003 Issued in AZ

Practice address

4365 E Pecos Rd Ste 122
Gilbert, AZ 85295-8052

Phone

(602) 733-7085

NPI assigned

Sep 19, 2024

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

State licenses

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.

• All Star Dietitian LLC

  • Registered Dietitian
  • Gilbert, AZ
  • NPI 1457961666

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1225865587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 E WILDHORSE DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977542",
            "telephone_number": "602-733-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD STE 122",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958052",
            "telephone_number": "602-733-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "896003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millian Smith
• Nicholas Smith, APRN
• Sabrina Smith
• Sam P Smith, D.O.
• Skyler Jay Smith, DMD
• Steven Bryant Smith, BS, LISAC
• Tia Smith, RBT
• Tyler Smith
• William Eaton Smith, DO
• Smith'S Food & Drug Centers Inc

• Registered Dietitian in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.