Active NPI
Jennifer M Smart, MS,RD,LDN,CLT
- Registered Dietitian
- Huntingtown, MD
National Provider Identifier
1336550995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX2967
- Practice address
- 1430 Solomon'S Island Road
Huntingtown, MD 20639-4220 - Phone
- (301) 332-1012
- NPI assigned
- May 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DX2967 | MD | Primary |
Addresses
Primary practice location
1430 Solomon'S Island Road
Huntingtown, MD 20639-4220
Mailing address
2320 Stella Dr.
Huntingtown, MD 20639-4220
Phone (301) 332-1012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200129002693 | DC | Practitioner - Registered Dietitian Or Nutrition Professional | 6406282094 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX2967 | MD | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1336550995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 STELLA DR.",
"city": "HUNTINGTOWN",
"state": "MD",
"postal_code": "206394220",
"telephone_number": "301-332-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 SOLOMON'S ISLAND ROAD",
"city": "HUNTINGTOWN",
"state": "MD",
"postal_code": "206394220",
"telephone_number": "301-332-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "MS,RD,LDN,CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-16",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX2967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntingtown, MD
- Richard J. Ghattas, M.D., PA
- John David Roberts, LCPC
- Thibin D Santha, M.D.
- Daung D Silpasuvan, MD
- Smart Nutrition, LLC
- Tess Jones Smith, PSYD
- Southern Maryland Tri-County Community Action Committee, Inc. (Friendly Health Services)
- Heather May Southwick, MS, AG-ACNP
- Sunshine Behavioral Consulting (Sunshine ABA for Kids)
- Mary Elizabeth Swieringa, LCSW-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.