Stacey Simon Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

STACEY SIMON NUTRITION LLC

Practice address

480 Bedford Rd Ste 3201
Chappaqua, NY 10514-1726

Phone

(603) 264-7382

NPI assigned

Mar 5, 2022

Organization subpart

No

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

Authorized official

Name

Stacey Elizabeth Simon

Title

Owner

Phone

(603) 264-7382

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1962159384",
    "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": {
        "organization_name": "STACEY SIMON NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-05",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-264-7382"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6303777",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Slater, PHD
• Nancy Smahl-Syrop, OTR
• Sarah Jane Sowards
• Jeanne Spano
• Debra Ann Spicehandler, MD
• Katrina Stechler, RD CDN
• Annette Fewell Steiner, PH.D.
• Marc Joshua Straus, MD
• Laura Beth Strober, MS, SLP-CCC
• Joseph Sullivan, MPT

• 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 25, 2026; 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.