Ellsworth Smith, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD.8097 Issued in OH

Practice address

347 Aultman Ave NW
Canton, OH 44708-5526

Phone

(330) 327-8430

NPI assigned

Dec 17, 2018

Sex

Male

Sole proprietor

Yes

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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1760953608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 AULTMAN AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085526",
            "telephone_number": "330-327-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 AULTMAN AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085526",
            "telephone_number": "330-327-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELLSWORTH",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.8097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel T Smith, LISW, LICDC
• Darrell Richard Smith, MD FACS
• Derek Lee Smith, PTA
• Dessia Larice Smith
• Dustin Smith, LSW
• Emma Smith, RBT
• Erin N. Smith, M.A.
• Felicia Paulette Smith
• Jay Darren Smith, DC
• Jetaiya Smith, QMHS BA CMS BA

• Registered Dietitian in Canton, OH
• Providers in Canton, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.