Individual provider Active NPI

Jessica Smith, RD, LN

  • Registered Dietitian
  • Easton, PA
National Provider Identifier
1336710896
Registry record updated May 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN005572 Issued in PA
Practice address
2429 Nazareth Rd Ste P29
Easton, PA 18045-2743
Phone
(610) 417-8577
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN005572 PA Primary

Addresses

Primary practice location

2429 Nazareth Rd Ste P29
Easton, PA 18045-2743

Mailing address

3290 Vista Dr
Danielsville, PA 18038-9532
Phone (610) 417-8577

Other practice location 1

452 Manor Dr
Nazareth, PA 18064-9626
Phone (610) 417-8577

Other practice location 2

3290 Vista Dr
Danielsville, PA 18038-9532
Phone (610) 417-8577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN005572PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778976000000",
    "number": "1336710896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 VISTA DR",
            "city": "DANIELSVILLE",
            "state": "PA",
            "postal_code": "180389532",
            "telephone_number": "610-417-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 NAZARETH RD STE P29",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452743",
            "telephone_number": "610-417-8577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "452 Manor Dr",
            "address_purpose": "LOCATION",
            "city": "Nazareth",
            "state": "PA",
            "postal_code": "180649626",
            "country_code": "US",
            "telephone_number": "610-417-8577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3290 Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Danielsville",
            "state": "PA",
            "postal_code": "180389532",
            "country_code": "US",
            "telephone_number": "610-417-8577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "credential": "RD, LN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2026-05-17",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2026; 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.