Healthcare Provider Details

I. General information

NPI: 1629548086
Provider Name (Legal Business Name): SMART NUTRITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2018
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 ENTERPRISE PKWY SUITE 100
RICHMOND VA
23294
US

IV. Provider business mailing address

2727 ENTERPRISE PKWY SUITE 100
RICHMOND VA
23294
US

V. Phone/Fax

Practice location:
  • Phone: 804-864-1998
  • Fax: 804-864-1997
Mailing address:
  • Phone: 804-864-1998
  • Fax: 804-864-1997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: SARAH KAITLIN FRAKES
Title or Position: OWNER
Credential:
Phone: 804-307-7746