Nicole Smith, RD, LD, CPHT

Registered Dietitian · Fulton, MO

Individual Active NPI

NPI number 1114683281

Practice location

500 E 5TH St
Fulton, MO 65251-1748
Phone
(573) 592-4100

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NPI record

NPI
1114683281
Entity type
Individual (Type 1)
Enumeration date
November 12, 2021
Last updated
November 12, 2021
Certified
November 12, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X — MO
Pharmacy Technician 183700000X — MO

Mailing address

203 Shellbark Dr
Troy, MO 63379-3307
Phone
(636) 734-1430

About Nicole Smith

Nicole Smith, RD, LD, CPHT is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 500 E 5TH St, Fulton, MO 65251-1748. The NPI number 1114683281 was assigned on November 12, 2021 and the record was last updated on November 12, 2021.

Frequently asked questions

What is the NPI number of Nicole Smith, RD, LD, CPHT?

The NPI number is 1114683281.

What is the phone number of Nicole Smith?

The phone number listed for the practice location is (573) 592-4100.

Where is Nicole Smith located?

500 E 5TH St, Fulton, MO 65251-1748.

What is the taxonomy code for Nicole Smith?

The primary taxonomy code is 133V00000X – Registered Dietitian; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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