LISA LAURITZEN SMITH RDN
NPI 1104464734
Dietitian, Registered in Jackson, WY

Active since December 13, 2019
625 E BROADWAY AVE, JACKSON, WY 83001(307) 739-7357 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 18, 2021, Dec 13, 2019 (2 updates tracked since 2019).

About Lisa Lauritzen Smith Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA LAURITZEN SMITH RDN (NPI 1104464734) is an individual dietitian, registered in Jackson, Wyoming, licensed in Wyoming (071) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1104464734
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLISA LAURITZEN SMITHCredential: RDN
Location Address625 E BROADWAY AVEJackson, WY 83001-8642
Mailing AddressPo Box 428Jackson, WY 83001-0428 · (307) 739-7357
Sole ProprietorNo
Enumeration DateDecember 13, 2019
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
NPI 1104464734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in WY · 071
Definition

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.

625 E BROADWAY AVE, Jackson, WY 83001

Other Identifiers 1

Medicaid155572300WY

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
625 E BROADWAY AVE
JACKSON, WY 83001
Nurse Anesthetist, Certified Registered
625 E BROADWAY AVE
JACKSON, WY 83001
Pathology (Anatomic Pathology & Clinical Pathology)
625 E BROADWAY AVE
JACKSON, WY 83001
Registered Nurse (Lactation Consultant)
625 E BROADWAY AVE
JACKSON, WY 83001
Emergency Medicine
625 E BROADWAY AVE
JACKSON, WY 83001
Rehabilitation Practitioner
625 E BROADWAY AVE
JACKSON, WY 83001
Specialist/Technologist, Other
625 E BROADWAY AVE
JACKSON, WY 83001
Physical Therapist
625 E BROADWAY AVE
JACKSON, WY 83001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Smith's NPI number?

The NPI number for Lisa Smith is 1104464734. It was assigned to this individual provider in the NPPES registry on December 13, 2019.

Where is Lisa Smith located?

Lisa Smith practices at 625 E Broadway Ave, Jackson, WY 83001. The listed phone number is (307) 739-7357.

What is Lisa Smith's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

What insurance does Lisa Smith accept?

Health plans from Blue Cross Blue Shield of Wyoming and Medica list Lisa Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Smith was last updated on February 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.