Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114683281 Individual Practitioner Female Practitioner

Nicole Smith , RD, LD, CPHT

Dietitian, Registered • Fulton, MO

Professional Overview & Biography Verified Profile Summary

Nicole Smith, RD, LD, CPHT is a registered healthcare professional specializing in Dietitian, Registered in Fulton, MO. Practice services are available at 500 E 5TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 E 5th St

Fulton, MO 652511748

Telephone 5735924100
Associated Practice Facility / Clinic
🏢 State Of Missouri Facility NPI 1104878792

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Fulton, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Fulton, MO (1384 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-11-12
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Pharmacy Technician

NUCC Taxonomy Code: 183700000X

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Samantha Thompson , FNP-C

Nurse Practitioner - Family

NPI 1215561741

Family Nurse Practitioner (Certified)

Dr. Kavita Pendurthi , MD

Psychiatry & Neurology - Psychiatry

NPI 1235140567

Doctor of Medicine (M.D.)

Dr. Justin Ehrhardt , MD

Psychiatry & Neurology - Psychiatry

NPI 1235798034

Doctor of Medicine (M.D.)

Dr. Richard Doisy , MD

Family Medicine

NPI 1255341491

Doctor of Medicine (M.D.)

Dr. Ralph Wimp , DO

Family Medicine

NPI 1255342572

Doctor of Osteopathic Medicine (D.O.)

NPI 1336150754

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 12, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location November 12, 2021

Registered at 500 E 5TH ST, FULTON, MO 652511748 (Tel: 5735924100)

📍
Updated Business Mailing Address November 12, 2021

Registered at 203 SHELLBARK DR, TROY, MO 633793307 (Tel: 6367341430)

👤
Provider Name / Credentials Updated November 12, 2021

Recorded as NICOLE SMITH, RD, LD, CPHT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2021

Pharmacy Technician

🟢
Initial NPI Registration & Enumeration November 12, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114683281
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 12, 2021
Last Update: November 12, 2021
Sole Proprietor: Yes

Mailing Address

203 Shellbark Dr

Troy, MO 633793307

Phone: 6367341430

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.