Individual provider Active NPI

Katelyn Ann Smith, RD, LDN

  • Registered Dietitian
  • New Holland, PA
National Provider Identifier
1629967062
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86391828 Issued in PA
Practice address
831 Walnut St
New Holland, PA 17557-9710
Phone
(717) 371-9999
NPI assigned
Jul 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86391828 PA Primary
Registered Dietitian 133V00000X DN008639 PA

Addresses

Primary practice location

831 Walnut St
New Holland, PA 17557-9710

Mailing address

831 Walnut St
New Holland, PA 17557-9710
Phone (717) 371-9999

Other practice location 1

1600 6th Ave Ste 114
York, PA 17403-2627
Phone (717) 849-2804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251228000061 PA Practitioner - Registered Dietitian Or Nutrition Professional 8921594011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1600 6TH Ave
Suite 114
York, PA 17403-2627
Phone (717) 849-2804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86391828PAMDRegistered Dietitian
DN008639PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Dec 1, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 1, 2025 Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

1600 6th Ave
Ste 114
York, PA 17403
Phone (717) 755-1244

Organizations & group practices 3

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": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1629967062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 WALNUT ST",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175579710",
            "telephone_number": "717-371-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 WALNUT ST",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175579710",
            "telephone_number": "717-371-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 6th Ave Ste 114",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174032627",
            "country_code": "US",
            "telephone_number": "717-849-2804",
            "fax_number": "717-850-4141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATELYN",
        "middle_name": "ANN",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "86391828",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN008639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Holland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.