Active NPI
Tanille Smith, RD, CD, CEDS-C
- Registered Dietitian
- South Jordan, UT
National Provider Identifier
1417626375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 9162456-4901
- Practice address
- 10808 S River Front Pkwy Ste 354
South Jordan, UT 84095-6300 - Phone
- (435) 760-2605
- NPI assigned
- Sep 13, 2021
- Last updated
- Jan 20, 2026
- 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 | 9162456-4901 | UT | Primary |
Addresses
Primary practice location
10808 S River Front Pkwy Ste 354
South Jordan, UT 84095-6300
Mailing address
3859 W Sage Meadow Dr
South Jordan, UT 84009-3985
Phone (435) 760-2605
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9162456-4901 | UT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1417626375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3859 W SAGE MEADOW DR",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840093985",
"telephone_number": "435-760-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10808 S RIVER FRONT PKWY STE 354",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840956300",
"telephone_number": "435-760-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TANILLE",
"credential": "RD, CD, CEDS-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "9162456-4901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.