Maia Rose Smith, MS, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2414 Issued in CT

Practice address

310 Boston Post Rd Unit 163
Waterford, CT 06385-1969

Phone

(860) 912-8079

NPI assigned

Dec 18, 2023

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Karuna Nutrition & Movement LLC

  • Registered Dietitian
  • Norwood, MA
  • NPI 1255846283

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1457129595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BOSTON POST RD UNIT 163",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851969",
            "telephone_number": "860-912-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BOSTON POST RD UNIT 163",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851969",
            "telephone_number": "860-912-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MAIA",
        "middle_name": "ROSE",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "2414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith Eye Associates, LLC
• Christopher D. Smith, PA
• Elizabeth Bladek Smith, O.D.
• Gina Faye Smith, LMFT
• Kia Nicole Smith
• Natalie Rose Smith, MS, RDN, CSO
• Katherine Carol Snyder, LMFT
• Kamila Somayaji, MD
• Mark Somers, M.D.
• Adrianne Sostre, L.P.C.

• Registered Dietitian in Waterford, CT
• Providers in Waterford, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.