IndividualActive
Lisa Smith, RDN
NPI 1104464734 · Registered Dietitian · Jackson, WY
Lisa Smith, RDN is a Registered Dietitian provider in Jackson, WY (NPI 1104464734).
Provider details
- NPI number
- 1104464734
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- License
- 071 (WY)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
625 E Broadway Ave
Jackson, WY 83001-8642
Phone: (307) 739-7357
Street-level locationGet directions
Mailing address
Po Box 428
Jackson, WY 83001-0428
Registry dates
- Enumerated
- 2019-12-13
- Last updated
- 2021-02-18
- Certified
- 2021-02-18
Frequently asked questions
- What is Lisa Smith's NPI number?
- Lisa Smith's National Provider Identifier (NPI) is 1104464734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Smith's specialty?
- Lisa Smith is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Lisa Smith located?
- Lisa Smith's practice location on file with NPPES is 625 E Broadway Ave, Jackson, WY 83001-8642.
- What is Lisa Smith's phone number?
- The practice phone number listed in the NPPES registry for Lisa Smith is (307) 739-7357.
- Is Lisa Smith's NPI active?
- Yes — Lisa Smith's NPI (1104464734) is active in the NPPES registry as of the last update on 2021-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.