Katherine Smith, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND8277 Issued in FL

Practice address

841 Prudential Dr Ste 1900
Jacksonville, FL 32207-8373

Phone

(904) 427-8451

NPI assigned

Feb 14, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1841823259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR STE 1900",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078373",
            "telephone_number": "904-427-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR STE 1900",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078373",
            "telephone_number": "904-427-8451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4203 Belfort Rd Bldg Suite250",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322161409",
            "country_code": "US",
            "telephone_number": "904-450-6097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHERINE",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2021-05-06",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "FL",
            "license": "ND8277",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND8277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Margarita Smith, LMHC, CAP
• Karen Lynne Smith, PT
• Kari Smith
• Karl H.S. Smith, M.D.
• Kate Meredith Smith, APRN
• Katie Smith, APRN
• Keianna Shaniqua Smith
• Kenoya Smith, LCSW
• Kethura S Smith, PHARMD
• Kevin B Smith, D.O.

• Registered Dietitian in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.