Organization Active NPI

Simone Nutrition

  • Registered Dietitian
  • Needham, MA
National Provider Identifier
1710640503
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Nicole Simone, MS, RDNNPI 1902280530
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3655OtherMALICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.simonenutrition.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.