MS. DIANE MICHELLE SIMON


Address: 2400 N Rockton Ave, Medical Genetics, Rockford, IL 61103-3655
Phone: 8159715782

MS. DIANE MICHELLE SIMON (NPI# 1497865349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497865349
Entity Type Individual
Full Name MS. DIANE MICHELLE SIMON
Credential MS RD LDN
Practice Address 2400 N Rockton Ave
Medical Genetics
Rockford
IL 61103-3655
Mailing Address 220 E Hillcrest Dr
3201
Dekalb
IL 60115-2479
Practice Telephone 8159715782
Mailing Telephone 8157488594
Enumeration Date 2006-08-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered IL Dietary & Nutritional Service Providers

Other Providers DIANE SIMON

NPI Name Taxonomy Address Enumeration
1720157746 Diane Cohn Simon Marriage & Family Therapist 2659 Portage Bay East, Suite 11, Davis, CA 95616 2006-11-06
1689825333 Diane U Simon Speech-Language Pathologist 30 Beaver Run Rd, Hamburg, NJ 07419 2008-09-30
1144244039 Diane Nadler Simon Counselor 17901 Nw 5th St, Suite 201, Pembroke Pines, FL 33029-2810 2006-07-26

Office Location

Street Address 2400 N ROCKTON AVE
MEDICAL GENETICS
City ROCKFORD
State IL
Zip Code 61103-3655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457357592 Michael J Kikta Surgery 2400 N Rockton Ave, Rockford, IL 61103-3655 2005-06-23
1053950055 Tina Longphee Registered Nurse 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-12-23
1598227407 Shahid Mohammad Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-04-01
1265993109 Sarah Elaine Robertson Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-25
1770042525 Vinita Patel Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-19
1255890646 Gilda Djabarzade Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-15
1285103002 Amy Lask Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-11-21
1477038743 Michelle Harris Advanced Practice Midwife 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-10-02
1134603095 Sarah R Linder Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-09-17
1376022350 Atiq Urrehman Khan Psychiatry & Neurology 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-08-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598398497 The Elitist Group Home Health Aide 2929 N Main Street, Rockford, IL 61103 2020-02-19
1972064194 Mahita Bellamkonda Student in an Organized Health Care Education/Training Program 2400 North Rockton Avenue, Rockford, IL 61103 2019-03-29
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1841385242 Rachel Pawlowski Occupational Therapist 3616 N. Main Street, Rockford, IL 61103 2006-10-03
1417068438 Alicia Anne Huntley Midwife 2400 Rockton Ave, Rockford, IL 61103 2006-08-31
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1225065204 Daniel William Johnson Dentist 519 Toner Av, Rockford, IL 61103 2006-06-27
1760472898 Ronald Peter Oberfoell Anesthesiology 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2005-10-28
1841752532 Dipti Sabharwal Student in an Organized Health Care Education/Training Program 2400 N Rockton Avenue, Rockford, IL 61103 2019-04-02
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902404908 Christine L Lauer Dietitian, Registered 24 Coral Dr Ne, Rockford, MI 49341-8514 2020-10-12
1336758903 Sara Mattillion Dietitian, Registered 930 Winthrop Ln, Rockford, IL 61107-3446 2020-07-29
1316560220 Jacqueline Marie Kirchner Dietitian, Registered 3827 Abbotsford Rd, Rockford, IL 61107-3669 2020-05-26
1548811995 Allison Vander Heyden Dietitian, Registered 122 Sherman St, Rockford, IL 61103-6356 2019-09-26
1730427501 Patricia Mary Beckemeyer Dietitian, Registered 251 Bienterra Trl, Apt 8, Rockford, IL 61107-5870 2013-01-29
1376760405 Raylene M Foster Dietitian, Registered 3585 River Edge View Ct Ne, Rockford, MI 49341-7220 2007-04-19
1275162653 Andrea Contreras Dietitian, Registered 4615 E State St Ste 202, Rockford, IL 61108-2158 2020-04-07
1376170183 Nicole Ann O'neill Dietitian, Registered 5666 E State St, Rockford, IL 61108-2425 2020-03-24
1063914760 Erika J Oltmanns Dietitian, Registered 2300 N Rockton Ave, Rockford, IL 61103-3619 2018-03-08
1730696113 Alyssa Klehr Dietitian, Registered 4615 E State St Ste 202, Rockford, IL 61108-2158 2018-01-06
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Competitor

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City ROCKFORD
Zip Code 61103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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