Diane Michelle Simon, MS RD LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

2400 N Rockton Ave
Medical Genetics
Rockford, IL 61103-3655

Phone

(815) 971-5782

NPI assigned

Aug 30, 2006

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497865349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E HILLCREST DR",
            "address_2": "3201",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152479",
            "telephone_number": "815-748-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ROCKTON AVE",
            "address_2": "MEDICAL GENETICS",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611033655",
            "telephone_number": "815-971-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "DIANE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MS RD LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio Roberto Silva, APN
• Lilliana Silver, RBT
• Evan Christopher Silvi
• Christine Judith Simaytis, M.D.
• Jessica Simmons, NP
• Maju Simon, RPH
• Carl Michael Simone, OD
• Jan Simone, APN
• Erin Anne Simonovich, M.A.
• Simply Wellness Chiropractic, LLC

• Registered Dietitian in Rockford, IL
• Providers in Rockford, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.