Active NPI
Nicole Simone, M.S., R.D., L.D.N.
- Registered Dietitian
- Newton, MA
National Provider Identifier
1902280530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3655
- Practice address
- 1400 Centre St
Suite 207
Newton, MA 02459-2454 - Phone
- (617) 332-2282
- NPI assigned
- Jul 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3655 | MA | Primary |
Addresses
Primary practice location
1400 Centre St
Suite 207
Newton, MA 02459-2454
Mailing address
1400 Centre St
Suite 207
Newton, MA 02459-2454
Other names 1
- Ms. Nicole Vance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3655 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simone Nutrition | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1902280530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 CENTRE ST",
"address_2": "SUITE 207",
"city": "NEWTON",
"state": "MA",
"postal_code": "024592454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 CENTRE ST",
"address_2": "SUITE 207",
"city": "NEWTON",
"state": "MA",
"postal_code": "024592454",
"telephone_number": "617-332-2282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONE",
"first_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "M.S., R.D., L.D.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "VANCE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.