Active NPI
Stephen R Smith, RD
- Registered Dietitian
- St Petersburg, FL
National Provider Identifier
1669618278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND5337
- Practice address
- 325 6TH St S Apt 2
St Petersburg, FL 33701-4405 - Phone
- (727) 608-8107
- NPI assigned
- Jan 2, 2009
- Sex
- Male
- 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 | ND5337 | FL | Primary |
Addresses
Primary practice location
325 6TH St S Apt 2
St Petersburg, FL 33701-4405
Mailing address
325 6TH St S Apt 2
St Petersburg, FL 33701-4405
Phone (727) 608-8107
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND5337 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230854400000",
"number": "1669618278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 6TH ST S APT 2",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014405",
"telephone_number": "727-608-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 6TH ST S APT 2",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014405",
"telephone_number": "727-608-8107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "STEPHEN",
"middle_name": "R",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-02",
"last_updated": "2009-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND5337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.