Stacey Elizabeth Simon, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86007711 Issued in NY

Practice address

480 Bedford Rd Ste 3201
Chappaqua, NY 10514-1726

Phone

(603) 264-7382

NPI assigned

Jan 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Stacey Elizabeth Riggs Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mendphysicianservices.staceysimon@156981.advancedmd-direct.com
• Direct secure messaging: staceysimon@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

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  • Lewisville, TX
  • NPI 1245403567

  Dietitian, Registered

  NPD
• Texas Bone Health and Wellness Center

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1811888142

  Multi-Specialty

  NPD
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935

  Multi-Specialty

  NPD (past)
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)
• Imaging Resource Centers LTD

  • Mobile Radiology Clinic/Center
  • Miamisburg, OH
  • NPI 1003855909
  NPD (past)
• Mend Physician Services PC

  • Registered Dietitian
  • Edison, NJ
  • NPI 1871419127

  Dietitian, Registered

  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1811319098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 DEERFIELD LN N",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105701406",
            "telephone_number": "603-264-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 BEDFORD RD STE 3201",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105141726",
            "telephone_number": "603-264-7382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 Deerfield Ln N",
            "address_purpose": "LOCATION",
            "city": "Pleasantville",
            "state": "NY",
            "postal_code": "105701406",
            "country_code": "US",
            "telephone_number": "603-264-7382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "STACEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": "NY",
            "license": "86007711",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86007711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "86007711",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "RIGGS",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy Shevell, MD
• Brad Shumel, M.D.
• Abby L Siegel, M.D.
• Mary Siemes, PH.D.
• Richard N Silverstein, M.D.
• Dawn Marie Sithian, M.S. CCC-SLP
• Rachel Slater, PSYD
• Stacey Slater, PHD
• Nancy Smahl-Syrop, OTR
• Sarah Jane Sowards

• Registered Dietitian in Chappaqua, NY
• Providers in Chappaqua, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.