MR. SAMUEL LEE SMITH R.D. NPI 1447467378

NPI Information

NPI: 1447467378
Provider Name: MR. SAMUEL LEE SMITH, R.D.
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

Organization: STAYWELL HEALTH CARE INC. Address:
80 PHOENIX AVE
WATERBURY, CT
ZIP 06702
Phone: (203) 756-8021
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MR. Samuel Lee Smith, R.D. is a nutrition and education nutritionist in Waterbury, CT with 50 years of experience. MR. Samuel Lee Smith, R.D. NPI is 1447467378. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

80 PHOENIX AVE
WATERBURY, CT
ZIP 06702-418
Phone: (203) 756-8021
Fax: (203) 596-9038

The enumeration date for this NPI number is 5/17/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education	000491	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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