Healthcare Provider Details

I. General information

NPI: 1962914796
Provider Name (Legal Business Name): ERICA KATHERINE SMITH MS, RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERICA O'GRADY MS, RDN

II. Dates (important events)

Enumeration Date: 11/02/2017
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 LITCHFIELD ST
TORRINGTON CT
06790-6679
US

IV. Provider business mailing address

540 LITCHFIELD ST
TORRINGTON CT
06790-6679
US

V. Phone/Fax

Practice location:
  • Phone: 860-496-6583
  • Fax:
Mailing address:
  • Phone: 860-496-6583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86001667
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: