Maia R Smith, MS, RD, CDN
Dietitian, Registered in Waterford, Connecticut
1457129595- Practice location
- 310 Boston Post RD Unit 163, Waterford, CT 06385-1969
- Phone
- 860-912-8079
- Fax
- —
- Last updated
- December 18, 2023
Maia Rose Smith is a Dietitian, Registered based in Waterford, CT. Maia Rose Smith practices in Waterford, CT and has the professional credentials of MS, RD, CDN. The NPI Number for Maia Rose Smith is 1457129595 and holds a License No. 2414 (CT). The current practice location address for Maia Rose Smith is 310 Boston Post RD Unit 163, Waterford, CT 06385-1969 and can be reached out via phone at 860-912-8079.
Provider Profile Details
- NPI Number
- 1457129595
- Provider Name
- Maia Rose Smith
- Credential
- MS, RD, CDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 310 Boston Post RD Unit 163, Waterford, CT 06385-1969
- Phone Number
- 860-912-8079
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 18, 2023
- Last Update Date
- December 18, 2023
- Certification Date
- December 18, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 310 Boston Post RD Unit 163
Waterford, CT 06385-1969 - City
- Waterford
- State
- Connecticut
- Zip
- 06385-1969
- Phone Number
- 860-912-8079
Provider Business Mailing Address Details
- Address
- 310 Boston Post RD Unit 163
Waterford, CT 06385-1969 - City
- Waterford
- State
- CT
- Zip
- 06385-1969
- Phone Number
- 860-912-8079
License Information
- License Number
- 2414
- License State
- CT
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Maia R Smith, MS, RD, CDN?
The NPI number of Maia R Smith, MS, RD, CDN is 1457129595. It was assigned on December 18, 2023 and is currently active in the NPPES registry.
What is the specialty of Maia R Smith, MS, RD, CDN?
Maia R Smith, MS, RD, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 2414.
Where does Maia R Smith, MS, RD, CDN practice?
The practice location is 310 Boston Post RD Unit 163, Waterford, CT 06385-1969. The office can be reached at 860-912-8079 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457129595 directly on the NPPES registry website.