Brianna Marie Smith, RD, MS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN007486 Issued in PA

Practice address

701 Ostrum St Ste 303
Fountain Hill, PA 18015-1152

Phone

(484) 526-3900

Fax

(484) 526-3908

NPI assigned

Nov 28, 2023

Last updated

Nov 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1538935929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S BROAD ST APT 1",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642802",
            "telephone_number": "484-221-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST STE 303",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151152",
            "telephone_number": "484-526-3900",
            "fax_number": "484-526-3908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1872 St Lukes Blvd",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180455669",
            "country_code": "US",
            "telephone_number": "484-503-1018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIANNA",
        "middle_name": "MARIE",
        "credential": "RD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loveleen Kaur Sidhu, MD
• Kim W Silver
• Gurshawn Singh, M.D.
• Saran Taj Singh, MD, MS ED
• Elisha Skumautz, PTA
• Nicole Marie Smith
• Robert Spatzer, CRNP
• St Luke's Physician Group Inc (St. Luke's Childrens' Choice Pediatrics)
• St. Luke's Physician Group Inc (Allen Neurosurgical Association)
• St. Luke's Physician Group Inc (St. Luke's Surgical Associates)

• Registered Dietitian in Fountain Hill, PA
• Providers in Fountain Hill, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.