Active NPI
Ellen Simoni Garden, RD, LD, CWMS
- Registered Dietitian
- Hutchinson, KS
National Provider Identifier
1043474323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000157
- Practice address
- 9 Hillcrest Dr
Hutchinson, KS 67502-1834 - Phone
- (620) 669-8671
- NPI assigned
- Jul 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000157 | KS | Primary |
Addresses
Primary practice location
9 Hillcrest Dr
Hutchinson, KS 67502-1834
Mailing address
9 Hillcrest Dr
Hutchinson, KS 67502-1834
Phone (620) 669-8671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 000157 | KS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1043474323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HILLCREST DR",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021834",
"telephone_number": "620-669-8671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HILLCREST DR",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021834",
"telephone_number": "620-669-8671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDEN",
"first_name": "ELLEN",
"middle_name": "SIMONI",
"name_prefix": "Mrs.",
"credential": "RD, LD, CWMS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "000157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.