Jennifer Lynn Smith, MS RD LD LMT

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

5531 Issued in OH

Practice address

59 W Dave Longaberger Ave
Dresden, OH 43821-9687

Phone

(740) 252-8034

Fax

(614) 722-3098

NPI assigned

Aug 5, 2008

Last updated

Aug 5, 2008By the provider in NPPES

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1962668392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 W DAVE LONGABERGER AVE",
            "city": "DRESDEN",
            "state": "OH",
            "postal_code": "438219687",
            "telephone_number": "740-252-8034",
            "fax_number": "614-722-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 W DAVE LONGABERGER AVE",
            "city": "DRESDEN",
            "state": "OH",
            "postal_code": "438219687",
            "telephone_number": "740-252-8034",
            "fax_number": "614-722-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS RD LD LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "OH",
            "license": "5531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adina Roberts
• Ronald W Downing OD (Tri-Valley Vision Clinic)
• Brittni Rothenstine
• Skylar Reene Lou Rudicil
• Devan Louise Sceurman, FNP
• Tri-Valley Joint Fire District
• Tri-Valley Local
• Andrew David Ullom, STNA
• Village of Dresden
• Gary Allen West

• Pediatric Nutrition Registered Dietitian in Dresden, OH
• Providers in Dresden, OH by specialty
• Pediatric Nutrition Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.