Individual provider Active NPI

Patricia A Simonds, MS, RDN, LD

  • Registered Dietitian
  • Roswell, GA
National Provider Identifier
1497267066
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD001972 Issued in GA
Practice address
407 Hardscrabble Rd
Roswell, GA 30075-1417
Phone
(678) 357-5217
NPI assigned
Nov 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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 ND6245 FL
Registered Dietitian 133V00000X LD001972 GA Primary

Addresses

Primary practice location

407 Hardscrabble Rd
Roswell, GA 30075-1417

Mailing address

4198 Westchester Xing NE
Roswell, GA 30075-1958
Phone (678) 357-5217

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

LicenseStateTypeSpecialty
ND6245FLMDRegistered Dietitian
LD001972GAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1497267066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4198 WESTCHESTER XING NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751958",
            "telephone_number": "678-357-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 HARDSCRABBLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751417",
            "telephone_number": "678-357-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONDS",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND6245",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD001972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.