Rileigh Smith, CNS, LDN
Individual provider Active NPI Nutritionist · Dayton, MD
NPI 1700567120 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1700567120
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 133N00000X
- License
- DX5952 (MD)
- Practice address
- 4901 Ten Oaks Rd
Dayton, MD 21036-1150 - Phone
- (443) 285-3325
- NPI assigned
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX5952 | MD | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Health of Lancaster LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | DX5952 | MD | Yes |
Addresses
Primary practice location
4901 Ten Oaks Rd
Dayton, MD 21036-1150
Mailing address
4901 Ten Oaks Rd
Dayton, MD 21036-1150
Phone (443) 285-3325
Other practice location 1
2207 Oregon Pike Ste 301A
Lancaster, PA 17601-4670
Phone (717) 490-6227
Other providers in Dayton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.