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STACEY SIMON NUTRITION LLC NPI 1962159384


NPI Information

NPI: 1962159384
Provider Name: STACEY SIMON NUTRITION LLC
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
98 DEERFIELD LN N
PLEASANTVILLE, NY
ZIP 10570
Phone: (603) 264-7382
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STACEY SIMON NUTRITION LLC is a dietitian registered in Pleasantville, NY. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. STACEY SIMON NUTRITION LLC NPI is 1962159384. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

98 DEERFIELD LN N
PLEASANTVILLE, NY
ZIP 10570-406
Phone: (603) 264-7382

The provider's authorized official is Stacey Elizabeth Simon .
The authorized official title is Registered Dietitian and has the following contact phone number (603) 264-7382.

The enumeration date for this NPI number is 3/5/2022 and was last updated on 11/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16303777OTHERNEW YORKCIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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