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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | IL | Dietary & Nutritional Service Providers |
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 |
Street Address |
2400 N ROCKTON AVE MEDICAL GENETICS |
City | ROCKFORD |
State | IL |
Zip Code | 61103-3655 |
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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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 |
Find all providers in zip 61103 |
Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
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. |
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 |
Find all providers in ROCKFORD |
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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.