Active NPI
Natalie Rose Smith, MS, RDN, CSO
- Registered Dietitian
- Waterford, CT
National Provider Identifier
1891413282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86013764
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 86013764 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition by Natalie, LLC | Dietitian, Registered | Current | 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.