Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallory Smith Peterson, RD, LDN, CNSC, CDE

Individual provider Renal Nutrition Registered Dietitian · NPI 1124654322

Mallory Smith Peterson, RD, LDN, CNSC, CDE is a Renal Nutrition Registered Dietitian in Meadowbrook, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020
Specialties on file
5
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

See every abbreviation used in this directory →

Practice location Address checks out

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone: (215) 938-3392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 21901033 (PA)
Renal Nutrition Registered Dietitian Taxonomy 133VN1005X
Metabolic Nutrition Registered Dietitian Taxonomy 133VN1006X
Gerontological Nutrition Registered Dietitian Taxonomy 133VN1101X
Obesity and Weight Management Nutrition Registered Dietitian Taxonomy 133VN1201X

Record details

NPI number1124654322
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LDN , CNSC , CDE
Sole proprietorNo
NPI enumeratedMarch 19, 2020
Last updated in NPPESMarch 19, 2020
Certification dateMarch 19, 2020