Organization Active NPI

Simone Therese Nutrition

  • Registered Dietitian
  • Ardmore, PA
National Provider Identifier
1801529615
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SIMONE THERESE NUTRITION
Practice address
61 Llanfair Rd Unit A1
Ardmore, PA 19003-3314
Phone
(828) 553-6832
NPI assigned
Jul 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Simone Wilson, RDNPI 1285284570
Title
Rd
Phone
(828) 553-6832

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: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

61 Llanfair Rd Unit A1
Ardmore, PA 19003-3314

Mailing address

64 Tanglewood Dr
Asheville, NC 28806-3429
Phone (828) 553-6832

Other names 1

  • Simone Therese Nutrition Doing business as

National Provider Directory

National Provider Directory

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": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1801529615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 TANGLEWOOD DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063429",
            "telephone_number": "828-553-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LLANFAIR RD UNIT A1",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190033314",
            "telephone_number": "828-553-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONE THERESE NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "RD",
        "authorized_official_telephone_number": "828-553-6832",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simone Therese Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.