Organization Active NPI

Smart Nutrition, LLC

  • Registered Dietitian
  • Huntingtown, MD
National Provider Identifier
1366095580
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SMART NUTRITION, LLC
Practice address
1430 Solomon'S Island Road
Huntingtown, MD 20639
Phone
(301) 332-1012
NPI assigned
Jul 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Authorized official

Name
Jennifer McKinley Smart, MS, RD, LDN, CLT
Title
Registered Dietitian, Owner
Phone
(301) 332-1012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1430 Solomon'S Island Road
Huntingtown, MD 20639

Mailing address

2320 Stella Dr
Huntingtown, MD 20639-4220
Phone (301) 332-1012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1366095580",
    "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": "20639",
            "telephone_number": "301-332-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MCKINLEY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN, OWNER",
        "authorized_official_telephone_number": "301-332-1012",
        "authorized_official_credential": "MS, RD, LDN, CLT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.