JEREMY CLINTON SMITH (NPI# 1992004451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992004451 |
| Entity Type | Individual |
| Full Name | JEREMY CLINTON SMITH |
| Credential | RD |
| Practice Address |
304 Blaine Ave Cloquet MN 55720-1202 |
| Practice Telephone | 2188780646 |
| Mailing Telephone | 2188780646 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376990622 | Jeremy Smith | Pharmacist | 21 Hampton Ct, Lancaster, NY 14086-9422 | 2016-05-17 |
| 1023478468 | Jeremy Smith | Physician Assistant | 3310 Runnels St, Fort Worth, TX 76106-6421 | 2016-02-27 |
| 1326381146 | Jeremy Smith | Counselor | 3201 Pioneers Blvd Ste 222, Lincoln, NE 68502-5963 | 2013-03-29 |
| 1609154244 | Jeremy Smith | Physical Therapist | 704 S Northwest Hwy, Barrington, IL 60010-4620 | 2011-08-01 |
| 1568784106 | Jeremy David Smith | Pharmacist | 1266 Nw Broad St, Murfreesboro, TN 37129-1713 | 2010-02-24 |
| 1184830812 | Jeremy Smith | Physical Therapist | 1920 Football Dr, Lake Forest, IL 60045-4829 | 2007-05-16 |
| 1154463255 | Jeremy Vanloring Smith | Optometrist | 202 W Pleasant St, Cynthiana, KY 41031-1434 | 2007-02-13 |
| 1891844312 | Jeremy James Smith | Dentist | 4310 Medical Parkway, Suite 203, Austin, TX 78756 | 2007-01-10 |
| 1033204821 | Jeremy Robert Smith | Dentist | 4355 Suwanee Dam Rd, Suwanee, GA 30024-6707 | 2006-10-04 |
| 1659479921 | Jeremy Allen Smith | Physical Therapist | 12416 66th St Ste A, Largo, FL 33773-3430 | 2006-09-20 |
| Street Address |
304 BLAINE AVE |
| City | CLOQUET |
| State | MN |
| Zip Code | 55720-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786652 | Awakening Growth, LLC | Social Worker | 116 Ave C, Cloquet, MN 55720 | 2017-05-08 |
| 1396129706 | Kara Danielle Ebert | Marriage & Family Therapist | 913 Stanley Ave, Cloquet, MN 55720 | 2015-07-15 |
| 1639577729 | Fcsl Cloquet, LLC | Assisted Living Facility | 130 W North Road, Cloquet, MN 55720 | 2014-12-05 |
| 1699173765 | Fcsl Cloquet, LLC | Assisted Living Facility | 132 W North Road, Cloquet, MN 55720 | 2014-12-05 |
| 1134426778 | Fond Du Lac Reservation Business Committee | Assisted Living Facility | 1571 Airport Road, Fond Du Lac Assisted Living, Cloquet, MN 55720 | 2011-02-17 |
| 1417124553 | Kara Lynn Fausch | Family Medicine | 512 Skyline Boulevard, Cloquet, MN 55720 | 2008-05-08 |
| 1013199769 | Carlton Co Public Health & Human Services | Public Health or Welfare | 30 N 10th Street, Cloquet, MN 55720 | 2007-12-04 |
| 1881808616 | Stephen David Parkhurst | Chiropractor | 903 Cloquet Avenue, Cloquet, MN 55720 | 2007-05-10 |
| 1093929861 | Northland Afc,inc | Day Training, Developmentally Disabled Services | 1576 White Pine Trail, Cloquet, MN 55720 | 2007-05-10 |
| 1235341231 | Northland Afc,inc | Day Training, Developmentally Disabled Services | 6580 W Arrowhead Rd., Cloquet, MN 55720 | 2007-05-04 |
| Find all providers in zip 55720 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024935 | Jennifer L Gherau | Dietitian, Registered | 810 Tall Pine Ln Apt 304, Cloquet, MN 55720-3190 | 2020-05-13 |
| 1811405368 | Barbara Ann Heikkila | Dietitian, Registered | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2018-01-18 |
| 1700236155 | Jean Lynn Maslowski | Dietitian, Registered | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2016-06-16 |
| 1083665897 | Leeanna Lynn Stock | Dietitian, Registered | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2006-05-15 |
| 1760433437 | Stacy Leah Colich | Dietitian, Registered | 512 Skyline Blvd, Community Memorial Hospital, Cloquet, MN 55720-1199 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538202 | Madison Merry Holm | Dietitian, Registered | 2494 Morrison St, Little Canada, MN 55117-1623 | 2020-11-05 |
| 1083213375 | Suzanna Steen | Dietitian, Registered | 2680 County Road 90, Independence, MN 55359-9764 | 2020-10-19 |
| 1780291245 | Meghan Kathleen Nilan | Dietitian, Registered | 7987 Drake Bay, Woodbury, MN 55125-1577 | 2020-09-29 |
| 1275148785 | Breeanna Lynn Goetz | Dietitian, Registered | 25755 655th St, Kasson, MN 55944-1896 | 2020-09-11 |
| 1194330860 | Kari Houge | Dietitian, Registered | 8960 York Rd S, Bloomington, MN 55431-1819 | 2020-09-10 |
| 1689289241 | Alexis Mae Guttormson | Dietitian, Registered | 1057 Grandview Ave W, Roseville, MN 55113-4438 | 2020-09-10 |
| 1194330969 | Alyssa Marie Bossle | Dietitian, Registered | 4914 River Wood Dr, Savage, MN 55378-4600 | 2020-09-09 |
| 1538773528 | Emily Weber | Dietitian, Registered | 5400 Shoreview Ave, Minneapolis, MN 55417-1918 | 2020-09-07 |
| 1881208049 | Cassandra Grace Hosfield | Dietitian, Registered | 9128 Florida Ave N, Brooklyn Park, MN 55445-1649 | 2020-09-04 |
| 1841803624 | Leah Anna Marie Miskowiec | Dietitian, Registered | 2896 88th Ave Ne, Blaine, MN 55449-6761 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JEREMY CLINTON SMITH.
| 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.