Susan A Smith, LDN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

164.006976 Issued in IL

Practice address

1114 Hidden Spring Dr
Naperville, IL 60540-4112

Phone

(630) 935-7497

NPI assigned

Jan 26, 2017

Last updated

Jan 26, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1326585407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 HIDDEN SPRING DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 HIDDEN SPRING DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404112",
            "telephone_number": "630-935-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "IL",
            "license": "164.006976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda W Smith, LCSW
• Matthew Ryan Smith, PHARMD
• Michelle Marie Smith, PHARMD, BCPS
• Michelle Neal Smith
• Ryan Smith, FNP-BC
• Tieara Smith, MPH, RD, LDN
• William John Smith, LCPC
• James D Smithers, M.A. L.C.P.C.
• Shaquantalia Smothers, FNP
• Nicole Snarskis, APRN

• Nutritionist in Naperville, IL
• Providers in Naperville, IL by specialty
• Nutritionist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.

Verify at the official NPI Registry.