Individual provider Active NPI

Natalie Rose Smith, MS, RDN, CSO

  • Registered Dietitian
  • Waterford, CT
National Provider Identifier
1891413282
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86013764 Issued in CT
Practice address
11 Boston Post Rd
Waterford, CT 06385-2401
Phone
(860) 371-5242
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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 86013764 CT Primary

Addresses

Primary practice location

11 Boston Post Rd
Waterford, CT 06385-2401

Mailing address

4 Indian Valley Dr
Waterford, CT 06385-1106
Phone (860) 371-5242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86013764CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition by Natalie, LLC Dietitian, Registered CurrentSince Sep 1, 2022 Accepting new patients

Locations

11 Boston Post Rd
Waterford, CT 06385
Phone (860) 339-6973

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1891413282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 INDIAN VALLEY DR",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851106",
            "telephone_number": "860-371-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852401",
            "telephone_number": "860-371-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NATALIE",
        "middle_name": "ROSE",
        "credential": "MS, RDN, CSO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "86013764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.