Traci Simonton, RD CDN

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

005062-1 Issued in NY

Practice address

161 Rombout Rd
Poughkeepsie, NY 12603-6217

Phone

(914) 474-3795

NPI assigned

Oct 28, 2008

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nutrition Works, Inc.

  • Early Intervention Provider Agency
  • Poughkeepsie, NY
  • NPI 1346495975
  NPD (past) Authorized official

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1801049457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 ROMBOUT RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036217",
            "telephone_number": "914-474-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 ROMBOUT RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036217",
            "telephone_number": "914-474-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONTON",
        "first_name": "TRACI",
        "credential": "RD CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NY",
            "license": "005062-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Simone
• Marianna Concetta Simone, MS, CCC-SLP, TSSLD
• Brian Simonofsky, DC
• Lisa Simons, LPN
• Ian Matthew Simonsen
• Kelly Simpson, CRNA
• Sonia R Simpson, DO
• Denise Kathleen Simrany, LMSW
• Erik Jon Sims, DPM
• Lewis J. Sims, DPM

• Pediatric Nutrition Registered Dietitian in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Pediatric Nutrition Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.