Stephanie M Smith, RD, LDN, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

074.0134144 Issued in VT

Practice address

366 Dorset St Ste 10
South Burlington, VT 05403-4479

Phone

(802) 999-9207

NPI assigned

Aug 23, 2018

Sex

Female

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)

Enrolled

Practice roles

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.

• Elite Health and Wellness LLC

  • Physical Therapist
  • Saint Albans, VT
  • NPI 1164722716

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1841771383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 HILLVIEW RD",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "054779146",
            "telephone_number": "845-863-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 DORSET ST STE 10",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034479",
            "telephone_number": "802-999-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "RD, LDN, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "074.0134144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher John Smart, DDS
• Kristin Paige Smith, PT, RD
• Lindsay Peet Smith, M.D.
• Mbuyi Marie-Claire Smith, FNP-BC
• Sheilagh Smith, LCMHC
• Kathryn E Smythe
• Benjamin Soll
• Solstice Chiropractic and Wellness Center, PLLC (Solstice Chiropractic and Wellness Center)
• Molly G Somaini, PA-C
• Sommers Chiropractic LLC

• Registered Dietitian in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Registered Dietitian in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.