Kellie Smith, DTR

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86068849

Practice address

1725 Washington Rd Ste 408
Pittsburgh, PA 15241-1214

Phone

(304) 932-5353

NPI assigned

Apr 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1255911343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PRIGG RD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 WASHINGTON RD STE 408",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411214",
            "telephone_number": "304-932-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLIE",
        "credential": "DTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": null,
            "license": "86068849",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86068849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Lynn Smith, PTA
• KC Marie Smith
• Kegan Smith
• Keier Renae Smith
• Kelcie Smith, MS, NCC, LPC
• Kelsey Kennedy Smith, PT
• Kenneth Smith
• Kevin M Smith, D.C.
• Kevin R. Smith, PH.D.
• Lara Smith, LPC

• Registered Dietitian in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.