Individual provider Active NPI

Simone R Pappalardo, RD

  • Registered Dietitian
  • Spokane Valley, WA
National Provider Identifier
1154094134
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI61109377 Issued in WA
Practice address
15918 E Euclid Ave
Spokane Valley, WA 99216-1815
Phone
(509) 924-1826
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI61109377 WA Primary

Addresses

Primary practice location

15918 E Euclid Ave
Spokane Valley, WA 99216-1815

Mailing address

4928 N Cedar St
Spokane, WA 99205-5418
Phone (509) 822-8830

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DI61109377WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Washington CurrentSince Aug 1, 2021 Accepting new patients
Providence Health & Services - Washington PastSince Aug 1, 2021 Accepting new patients

Locations

15918 E Euclid Ave
Spokane Valley, WA 99216
Phone (509) 924-1826

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1154094134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4928 N CEDAR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992055418",
            "telephone_number": "509-822-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15918 E EUCLID AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161815",
            "telephone_number": "509-924-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPALARDO",
        "first_name": "SIMONE",
        "middle_name": "R",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI61109377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.