SIMONE JOYCE HAIRSTON (NPI# 1609353390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609353390 |
Entity Type | Individual |
Full Name | SIMONE JOYCE HAIRSTON |
Credential | RD |
Practice Address |
Va Department of Veteran Affairs 385 Tremont Ave. East Orange NJ 07018 |
Mailing Address |
20 Lowell Ave Summit NJ 07901-1548 |
Practice Telephone | 9736761000 |
Enumeration Date | 2018-07-25 |
Last Update Date | 2018-07-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 86059321 | NJ | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093337974 | Simone Hairston | Behavioral Analyst | 506 Peaks Way, Acworth, GA 30102-1981 | 2020-05-13 |
Street Address |
VA DEPARTMENT OF VETERAN AFFAIRS 385 TREMONT AVE. |
City | EAST ORANGE |
State | NJ |
Zip Code | 07018 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265902373 | New Vision Therapeutic Counseling Services | Counselor | 137 Evergreen Place Suite 3a, East Orange, NJ 07018 | 2018-12-01 |
1528535465 | Chioma Eunice Agbo | Nurse Practitioner | 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 | 2018-10-29 |
1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
1205314507 | Jaleesa Myers | Social Worker | 320 S Harrison St Apt 20a, East Orange, NJ 07018 | 2018-07-30 |
1184101024 | Tejumade Veronica Falae | Registered Nurse | 6o Evergreen Place, Suite 307, East Orange, NJ 07018 | 2018-07-24 |
1659882082 | Bmg East Orange LLC | Internal Medicine | 200 Freeway Dr E Ste 305, East Orange, NJ 07018 | 2017-10-12 |
1548618341 | Golden Years Day Care Inc. | Clinic/Center | 50 South Munn Ave, East Orange, NJ 07018 | 2016-06-02 |
1669833703 | Ashley Ciccarelli | Social Worker | 86 South Harrison Street, East Orange, NJ 07018 | 2016-03-17 |
1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
1265803704 | Esther Park | Case Manager/Care Coordinator | 49 Evergreen Place, East Orange, NJ 07018 | 2015-10-09 |
Find all providers in zip 07018 |
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 |
---|---|---|---|---|
1184139016 | Mariela Pabon | Dietitian, Registered | 613 Park Ave Fl 2, East Orange, NJ 07017-1905 | 2017-12-14 |
1265986426 | Alyce H Cudjoe | Dietitian, Registered | 60 Evergreen Pl Ste 400, East Orange, NJ 07018-2120 | 2016-08-05 |
1093093148 | Chesney Blue | Dietitian, Registered | 142 Renshaw Ave, East Orange, NJ 07017-3313 | 2011-07-22 |
1528264462 | Natalie Y Roberts-moore | Dietitian, Registered | 108 S Munn Ave, East Orange, NJ 07018-3402 | 2007-06-26 |
1437661154 | Monika Mahajan | Dietitian, Registered | 300 Central Ave, East Orange, NJ 07018-2819 | 2017-11-03 |
1194240457 | Anneliese Marie Meloni | Dietitian, Registered | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2017-08-08 |
1912332149 | Jacqueline J. Gil | Dietitian, Registered | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2013-09-06 |
1740548254 | Christine Granz | Dietitian, Registered | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2012-05-03 |
1730463464 | Latifah G Abdus-salaam | Dietitian, Registered | 444 William St, East Orange, NJ 07017-2213 | 2011-09-29 |
1962510123 | Luci O Williams | Dietitian, Registered | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2006-08-28 |
Find all providers in EAST ORANGE |
City | EAST ORANGE |
Zip Code | 07018 |
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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.