MRS. KAITLIN PHARIS SMITH


Address: 3004 50th St Ste A, Lubbock, TX 79413-4129
Phone: 9402829902

MRS. KAITLIN PHARIS SMITH (NPI# 1265078372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265078372
Entity Type Individual
Full Name MRS. KAITLIN PHARIS SMITH
Credential RD
Practice Address 3004 50th St Ste A
Lubbock
TX 79413-4129
Mailing Address 6620 30th St Apt 7001
Lubbock
TX 79407-3498
Practice Telephone 9402829902
Mailing Telephone 9402829902
Enumeration Date 2019-11-24
Last Update Date 2019-11-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DT85573 TX Dietary & Nutritional Service Providers

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1548880594 Kaitlin Gronbeck Smith Speech-Language Pathologist 12339 Renwick Dr, Houston, TX 77035-5529 2020-04-20
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1639331986 Kaitlin Smith Social Worker 63 Carey Ave, Apt 5, Watertown, MA 02472-3071 2008-06-27
1407465669 Kaitlin Christine Smith Genetic Counselor, MS 1635 Aurora Ct, Aurora, CO 80045-2541 2020-07-23
1316502891 Kaitlin Smith Counselor 2540 Michigan Ave Ste A&b, Kissimmee, FL 34744-1933 2019-05-09
1477118412 Kaitlin Smith Behavior Technician 417 Commercial Ct Ste C, Venice, FL 34292-1655 2019-05-06
1972062859 Kaitlin Elizabeth Smith Student in an Organized Health Care Education/Training Program 900 S Limestone Ctw 304, Lexington, KY 40536-0001 2019-03-19
1558866731 Kaitlin Austin Smith Specialist/Technologist 158 Harmon Dr, Northfield, VT 05663-1000 2018-03-28
1043688740 Kaitlin Smith Student in an Organized Health Care Education/Training Program 4760 Sepulveda Blvd, Culver City, CA 90230-4820 2015-09-11
1639511058 Kaitlin Patricia Smith Social Worker 35300 Nankin Blvd, Westland, MI 48185-7222 2013-07-26

Office Location

Street Address 3004 50TH ST STE A
City LUBBOCK
State TX
Zip Code 79413-4129

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275164774 Samantha Mcinerney Dietitian, Registered 3004 50th St Ste A, Lubbock, TX 79413-4129 2020-02-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194226654 Heritage Birth Center, LLC Clinic/Center 3410 Knoxville Ave, Lubbock, TX 79413 2018-02-21
1992216071 Leah Beth Deboard Counselor 6906 Freemont Ave, Lubbock, TX 79413 2017-10-17
1003357518 Emmy Lu Henley Dietitian, Registered 6520 University Ave, Suite 5, Lubbock, TX 79413 2017-03-16
1730635129 Katy Rebecca-franklin Poff Dietitian, Registered 7008 Indiana Avenue, Suite A, Lubbock, TX 79413 2016-08-26
1982074340 Katricia Collins Speech-Language Pathologist 3403 40th St, Lubbock, TX 79413 2015-09-29
1750771937 Caprock Compounding Pharmacy Inc. Pharmacy 3007 50th Street, Lubbock, TX 79413 2015-01-27
1083010250 Max Manley Counselor 3312 38th St., Lubbock, TX 79413 2014-11-14
1124326566 Melissa Mccauley Midwife 3609 38th Street, Lubbock, TX 79413 2011-03-09
1619138880 Myles Freeman Sadler Dentist 3315 - 64th Street, Lubbock, TX 79413 2008-06-20
1316121320 Michael Daniel Gomez Psychologist 6610 Quaker Ave, Lubbock, TX 79413 2007-12-27
Find all providers in zip 79413

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467095513 Sophia Maria Martinez Dietitian, Registered 6104 Avenue Q, Lubbock, TX 79412-3506 2019-10-22
1205331998 Lauren Blechle Dietitian, Registered 3615 19th St Bldg 17, Lubbock, TX 79410-1203 2018-03-26
1003357518 Emmy Lu Henley Dietitian, Registered 6520 University Ave, Suite 5, Lubbock, TX 79413 2017-03-16
1730635129 Katy Rebecca-franklin Poff Dietitian, Registered 7008 Indiana Avenue, Suite A, Lubbock, TX 79413 2016-08-26
1639531254 Lori Ann Boyd Dietitian, Registered 2412 50 Th Street, Lubbock, TX 79412 2016-03-23
1972918126 Premier Nutrition Consulting, LLC Dietitian, Registered 2907 Bates St, Lubbock, TX 79415-2646 2014-06-26
1790199248 Tiffany Ann Quevedo Dietitian, Registered 3008 55th St, Lubbock, TX 79413-4802 2014-06-12
1326486549 Amy Ashmore Dietitian, Registered 602 Indiana Ave # 5980, Lubbock, TX 79415-3364 2013-06-10
1952672578 Brooksgate Inc. Dietitian, Registered 6829 6th St, Lubbock, TX 79416-3769 2012-01-13
1962701615 Lynda Diane March Dietitian, Registered 3302 County Road 7530, Lubbock, TX 79423-6381 2011-03-21
Find all providers in LUBBOCK

Competitor

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City LUBBOCK
Zip Code 79413

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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