Active NPI
Simone Walker, MS, RD, LDN
- Registered Dietitian
- Marrero, LA
National Provider Identifier
1245697499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2093
- Practice address
- 2580 Allyson LN
Marrero, LA 70072-6167 - Phone
- (504) 432-7315
- NPI assigned
- Jan 19, 2016
- Last updated
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 963630 | LA | |
| Registered Dietitian | 133V00000X | 2093 | LA | Primary |
Addresses
Primary practice location
2580 Allyson LN
Marrero, LA 70072-6167
Mailing address
2580 Allyson LN
Marrero, LA 70072-6167
Phone (504) 432-7315
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2093 | LA | MD | Registered Dietitian |
| 963630 | LA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virgeaux Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
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": "1453161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1245697499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 ALLYSON LN",
"city": "MARRERO",
"state": "LA",
"postal_code": "700726167",
"telephone_number": "504-432-7315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 ALLYSON LN",
"city": "MARRERO",
"state": "LA",
"postal_code": "700726167",
"telephone_number": "504-432-7315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "SIMONE",
"name_prefix": "Ms.",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-19",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "963630",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "2093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.