Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104464734 Individual Practitioner Female Practitioner

Lisa Lauritzen Smith , RDN

Dietitian, Registered • Jackson, WY

Professional Overview & Biography Verified Profile Summary

Lisa Smith, RDN is a registered healthcare professional specializing in Dietitian, Registered in Jackson, WY. Practice services are available at 625 E BROADWAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

625 E Broadway Ave

Jackson, WY 830018642

Telephone 3077397357
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Jackson, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
10 Specialists

Practicing in Jackson, WY (141 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: 2021-02-18
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License WY 071

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
155572300 (WY)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Shawn Wright , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003857624

Certified Registered Nurse Anesthetist

Henry Mcelroy , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003937137

Certified Registered Nurse Anesthetist

Dr. Edward Callaghan , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1013969211

Doctor of Medicine (M.D.)

Leah Nydam , IBCLC

Registered Nurse - Lactation Consultant

NPI 1033991815

International Board Certified Lactation Consultant

Dr. Adam Johnson , MD

Emergency Medicine

NPI 1043364797

Doctor of Medicine (M.D.)

Dr. Meaghan Paul , DPT

Physical Therapist

NPI 1134898679

Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 13, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2019

Registered at 625 E BROADWAY AVE, JACKSON, WY 830018642 (Tel: 3077397357)

📍
Updated Business Mailing Address December 13, 2019

Registered at PO BOX 428, JACKSON, WY 830010428 (Tel: 3077397357)

👤
Provider Name / Credentials Updated December 13, 2019

Recorded as LISA SMITH, RDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2019

Dietitian, Registered (License #071 in WY)

🟢
Initial NPI Registration & Enumeration December 13, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Lisa Smith. Be the first to share your experience!

Sign in to leave a review for Lisa Smith

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1104464734
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2019
Last Update: February 18, 2021
Sole Proprietor: No

Mailing Address

Po Box 428

Jackson, WY 830010428

Phone: 3077397357

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.