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

Mandel Johnson Smith, RD

Individual provider Registered Dietitian · NPI 1083453260

Mandel Johnson Smith, RD is a Registered Dietitian OR Nutrition Professional in Philadelphia, Pennsylvania. Qualified in 2017, 9 years ago. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2024
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-4600
Fax: (215) 707-5599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DN006633 (PA)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X · Licence DN006633 (PA)

Record details

NPI number1083453260
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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