Active NPI
Simone Nutrition
- Registered Dietitian
- Needham, MA
National Provider Identifier
1710640503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- SIMONE NUTRITION
- Practice address
- 163 Highland Ave # 1042
Needham, MA 02494-3025 - Phone
- (617) 775-1255
- NPI assigned
- Oct 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Simone, MS, RDN
- Title
- Owner, Registered Dietitian
- Phone
- (617) 775-1255
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
163 Highland Ave # 1042
Needham, MA 02494-3025
Mailing address
163 Highland Ave # 1042
Needham, MA 02494-3025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3655 | Other | MA | LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.simonenutrition.com | Direct |
National Provider Directory
National Provider DirectoryLocations
163 Highland Ave
#1042
Needham, MA 02494
Phone (617) 775-1255
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Newton, MA
- NPI 1902280530
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634601600000",
"number": "1710640503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 HIGHLAND AVE # 1042",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024943025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 HIGHLAND AVE # 1042",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024943025",
"telephone_number": "617-775-1255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMONE NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-19",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A",
"authorized_official_last_name": "SIMONE",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
"authorized_official_telephone_number": "617-775-1255",
"authorized_official_credential": "MS, RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "3655",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.simonenutrition.com",
"affiliation": "N",
"endpointDescription": "provider website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "163 Highland Ave # 1042",
"city": "Needham",
"state": "MA",
"country_code": "US",
"postal_code": "024943025",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.