NPI 1972622512 · live from the CMS NPI Registry
Kristina D Adams Smith, RD
Dietitian, Registered in Mattoon, IL. National Provider Identifier 1972622512, active.
NPI record
| NPI | 1972622512 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1005 Health Center Drive, Suite 101, Mattoon, IL 61938 |
| Practice phone | 217-238-4774 |
| Enumerated | March 28, 2007 |
| Last updated | March 26, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164.003450 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.