Sherry Beth Simon, R.D.N./L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT06163 Issued in TX

Practice address

5564 Eastwedge Dr
Fort Worth, TX 76137-4380

Phone

(817) 703-9068

NPI assigned

May 1, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1447695754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 EASTWEDGE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374380",
            "telephone_number": "817-703-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5564 EASTWEDGE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374380",
            "telephone_number": "817-703-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "SHERRY",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "R.D.N./L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT06163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surnedra C Simmons, LPC
• Za'Kiya Simmons, RBT
• De Anne Simon, CNIM
• Kelly Simon
• Patrick Sajous Simon, PHARMD
• Brady Putnam Simonak, D.O.
• David Wayne Simonak, D.O.
• Ryan David Simonak, D.O.
• Duncan Forrest Simoneaux, DPT
• Rose S Simonian, MD

• Registered Dietitian in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.