Leslie Noel Cordella-Simon, MED,RD,LDN,CDE

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

LDN800 Issued in MA

Practice address

54 Central Ave
Apt 3
Milton, MA 02186-2916

Phone

(508) 737-7084

Fax

(866) 851-7082

NPI assigned

Nov 7, 2006

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)

Enrolled

Credentials

Master of Education

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.

• Live Nutrition Inc

  • Registered Dietitian
  • Brewster, MA
  • NPI 1548221682
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831268762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 CENTRAL AVENUE,",
            "address_2": "APT 3",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021862916",
            "telephone_number": "508-737-7084",
            "fax_number": "866-851-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 CENTRAL AVE",
            "address_2": "APT 3",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021862916",
            "telephone_number": "508-737-7084",
            "fax_number": "866-851-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDELLA-SIMON",
        "first_name": "LESLIE",
        "middle_name": "NOEL",
        "credential": "MED,RD,LDN,CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MA",
            "license": "LDN800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Joseph Collier
• Brigitte Marie Collins, RDH
• Community Physicians Associates, Inc.
• Community Physicians Associates, Inc.
• Community Physicians Associates, Inc.
• Jose Bienvenido Corporan, PA-C
• John Page Cotton
• Paul Joseph Crehan, PA
• Jon W Cronin, M.D.
• Crossroad Counseling Services, LLC

• Nutrition Education Nutritionist in Milton, MA
• Providers in Milton, MA by specialty
• Nutrition Education Nutritionist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.