Individual provider Active NPI

Angela Victoria Smith, MS, RD, CSN, LDN

  • Registered Dietitian
  • Southbury, CT
National Provider Identifier
1871477810
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
59.002949 Issued in CT
Practice address
281 Cobbler LN
Southbury, CT 06488-2686
Phone
(203) 456-5284
NPI assigned
Aug 4, 2025
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 59.002949 CT Primary

Addresses

Primary practice location

281 Cobbler LN
Southbury, CT 06488-2686

Mailing address

281 Cobbler LN
Southbury, CT 06488-2686
Phone (203) 456-5284

Other identifiers 2

IdentifierTypeStateIssuer
59.002949OtherCTSTATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
86378409OtherCOMMISSION ON DIETETIC REGISTRATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260202002118 OR Practitioner - Registered Dietitian Or Nutrition Professional 7719465632 Reassigns benefits to 1 organization
I20260320004122 CT Practitioner - Physician Assistant 7719465632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornell Scott Hill Health CorporationGroup PAC ID 3072418359, 261 clinicians

Practice addresses (Care Compare)

428 Columbus Ave
New Haven, CT 06519-1233
Phone (203) 503-3228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
59.002949CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Nutrition Dietitian, Registered CurrentSince Dec 20, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1871477810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 COBBLER LN",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882686",
            "telephone_number": "203-456-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 COBBLER LN",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882686",
            "telephone_number": "203-456-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGELA",
        "middle_name": "VICTORIA",
        "credential": "MS, RD, CSN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "59.002949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "59.002949",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86378409",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.