Active NPI
Millicent Murray Simmons, RD, LDN
- Registered Dietitian
- Goldsboro, NC
National Provider Identifier
1467553115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L00981
- Practice address
- 200 W Ash St
Goldsboro, NC 27530-3662 - Phone
- (919) 735-0139
- Fax
- (919) 731-3394
- NPI assigned
- Sep 26, 2006
- 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 | L00981 | NC | Primary |
Addresses
Primary practice location
200 W Ash St
Goldsboro, NC 27530-3662
Mailing address
952 Saulston Rd
Goldsboro, NC 27534-8526
Phone (919) 735-0139
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 |
|---|---|---|---|
| L00981 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1467553115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "952 SAULSTON RD",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275348526",
"telephone_number": "919-735-0139",
"fax_number": "919-731-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ASH ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275303662",
"telephone_number": "919-735-0139",
"fax_number": "919-731-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "MILLICENT",
"middle_name": "MURRAY",
"name_prefix": "Mrs.",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L00981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.