Individual provider Active NPI

Catessa L Simon, MS, RD, LD

  • Registered Dietitian
  • Oakland, MD
National Provider Identifier
1083966758
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX3995 Issued in MD
Practice address
1027 Memorial Dr
Oakland, MD 21550-4343
Phone
(301) 533-3300
Fax
(301) 533-3299
NPI assigned
Oct 5, 2012
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX3995 MD Primary
Registered Dietitian 133V00000X 1633 WV

Addresses

Primary practice location

1027 Memorial Dr
Oakland, MD 21550-4343

Mailing address

139 S Oakhall Dr
Oakland, MD 21550-1922
Phone (802) 923-6709

Other practice location 1

198 Morgantown St Ste 2
Bruceton Mills, WV 26525-5003
Phone (304) 379-7600

Other practice location 2

28 Hershberger Ln
Grantsville, MD 21536-1172
Phone (301) 895-5107

Other practice location 3

22221 Westernport Rd SW
Westernport, MD 21562-2206
Phone (240) 774-0204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231215000071 MD Practitioner - Registered Dietitian Or Nutrition Professional 8123270998 Reassigns benefits to 1 organization
I20240403003686 WV Practitioner - Registered Dietitian Or Nutrition Professional 8123270998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1027 Memorial Dr
Oakland, MD 21550-4343
Phone 30153333003081

22221 Westernport Rd SW
Westernport, MD 21562-2206
Phone (240) 774-0204

28 Hershberger LN
Grantsville, MD 21536-1172
Phone (301) 895-5107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1633WVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Maryland Health Care Corporation CurrentSince Dec 18, 2023 Accepting new patients
Western Maryland Health Care Corporation CurrentSince Dec 18, 2023 Accepting new patients
Bruceton Family Medicine LLC Current Accepting new patients
Western Maryland Health Care Corporation Current Accepting new patients
Western Maryland Health Care Corporation CurrentSince Jan 15, 2024 Accepting new patients
Western Maryland Health Care Corporation Past Accepting new patients

Locations

104 Parkview Dr
Grantsville, MD 21536
Phone (301) 895-5107

28 Hershberger Ln
Grantsville, MD 21536
Phone (301) 895-5107

1027 Memorial Dr
Oakland, MD 21550
Phone (301) 533-3300

22221 Westernport Rd SW
Westernport, MD 21562
Phone (240) 774-0204

198 Morgantown St
Ste 2
Bruceton Mls, WV 26525
Phone (304) 379-7600

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1083966758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 S OAKHALL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501922",
            "telephone_number": "802-923-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-533-3300",
            "fax_number": "301-533-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "198 Morgantown St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bruceton Mills",
            "state": "WV",
            "postal_code": "265255003",
            "country_code": "US",
            "telephone_number": "304-379-7600",
            "fax_number": "301-533-3299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Hershberger Ln",
            "address_purpose": "LOCATION",
            "city": "Grantsville",
            "state": "MD",
            "postal_code": "215361172",
            "country_code": "US",
            "telephone_number": "301-895-5107",
            "fax_number": "301-533-3299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22221 Westernport Rd SW",
            "address_purpose": "LOCATION",
            "city": "Westernport",
            "state": "MD",
            "postal_code": "215622206",
            "country_code": "US",
            "telephone_number": "240-774-0204",
            "fax_number": "301-533-3299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "CATESSA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX3995",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WV",
            "license": "1633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.