Jenna Smith, MS, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86068712 Issued in NY

Practice address

118 Business Park Dr
Utica, NY 13502-6302

Phone

(315) 793-2800

Fax

(315) 793-2807

NPI assigned

Mar 29, 2021

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

Other names 1

• Jenna Hamblin Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1720665367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BUSINESS PARK DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026302",
            "telephone_number": "315-793-2800",
            "fax_number": "315-793-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 BUSINESS PARK DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026302",
            "telephone_number": "315-793-2800",
            "fax_number": "315-793-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNA",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86068712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "HAMBLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sleep Well Be Happy LLC
• Sabrina Slutsky, DO
• Renee Small
• Carolyn M Smith, P.A.
• Colleen A Smith, FNPC
• Karalyn Smith
• Kenneth Alexander Smith, REGISTERED NURSE
• Korinne M Smith, FNP
• Krystal Smith, LMHC
• Marla H Smith, FNP

• Registered Dietitian in Utica, NY
• Providers in Utica, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.