JUDY D. SIMON (NPI# 1811910755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811910755 |
| Entity Type | Individual |
| Full Name | JUDY D. SIMON |
| Other Name | JUDY D. GARDNER |
| Credential | RD, MS |
| Practice Address |
4245 Roosevelt Way Box 356057 Seattle WA 98195-0001 |
| Mailing Address |
Po Box 24366 M/s 359107 Seattle WA 98124-0366 |
| Practice Telephone | 2065984055 |
| Practice Fax Number | 2065985792 |
| Mailing Telephone | 2065988920 |
| Mailing Fax Number | 2065987663 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI00001314 | WA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093154049 | Judy Corinne Simon | Behavioral Analyst | 1014 Walnut St Apt C, Alameda, CA 94501-4978 | 2013-06-21 |
| 1083762439 | Judy Ann Simon | Speech-Language Pathologist | 3710 Sw Us Veterans Hospital Rd, Portland Va Medical Center, Portland, OR 97239-2964 | 2007-01-08 |
| Street Address |
4245 ROOSEVELT WAY BOX 356057 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98195-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053417873 | Jennifer A. Lavine | Social Worker | 4245 Roosevelt Way, Box 354780, Seattle, WA 98195-0001 | 2006-09-16 |
| 1053417048 | H. Page Baldwin | Social Worker | 4245 Roosevelt Way, Box 354760, Seattle, WA 98195-0001 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1588127138 | Scott Boop | Student in an Organized Health Care Education/Training Program | Department of Neurological Surgery, 1959 Ne Pacific St, Box Number 356470, Seattle, WA 98195 | 2019-04-10 |
| 1275093973 | Elizabeth Grace Knoff Floodeen | Oral & Maxillofacial Surgery | University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 | 2019-03-20 |
| 1780174722 | Matias Eduardo Czerwonko Pupi | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street (university of Washington Depart, Seattle, WA 98195 | 2018-05-15 |
| 1235636143 | Caitlin Aiko Harrington | Student in an Organized Health Care Education/Training Program | University of Washington Internal Medicine Residency, Seattle, WA 98195 | 2018-04-07 |
| 1851897243 | Natalie Miller | Student in an Organized Health Care Education/Training Program | University of Washington Medical Center 1959 Ne Pacific, Seattle, WA 98195 | 2018-04-04 |
| 1386140978 | Elena Luisa Pellicer | Student in an Organized Health Care Education/Training Program | Univ of Washington Dept of Obgyn, 1959 Ne Pacific St., Seattle, WA 98195 | 2018-04-02 |
| 1407386824 | Sherry S Wang | Radiology | Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 | 2017-06-18 |
| 1932638137 | Maziar Riazy | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Rm Ne110, University of Washington Medical Center - Pathology, Seattle, WA 98195 | 2017-06-09 |
| Find all providers in zip 98195 | ||||
| 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 |
|---|---|---|---|---|
| 1629679949 | Renewtrition, LLC | Dietitian, Registered | 4239 Evanston Ave N, Seattle, WA 98103-7206 | 2020-11-03 |
| 1144821620 | Sydney Marie Carroll | Dietitian, Registered | 1818 E Mercer St Ste 103, Seattle, WA 98112-4689 | 2020-11-03 |
| 1679170096 | Taisha Bell | Dietitian, Registered | 300 1st Ave W Apt 303, Seattle, WA 98119-4375 | 2020-10-08 |
| 1225645427 | Virginia A Turner | Dietitian, Registered | 434 Ne 73rd St Apt 1/2, Seattle, WA 98115-5331 | 2020-09-30 |
| 1326653734 | Julie Duli Kim | Dietitian, Registered | 4220 S Trenton St, Seattle, WA 98118-4921 | 2020-09-11 |
| 1750996252 | Geneva Curry | Dietitian, Registered | 3006 Nw Market St Apt 5, Seattle, WA 98107-4222 | 2020-09-10 |
| 1679187066 | Sara C Woolcock | Dietitian, Registered | 1800 15th Ave S Unit B, Seattle, WA 98144-4214 | 2020-09-02 |
| 1275150773 | Miranda Duffy Eriksen | Dietitian, Registered | 4235 Francis Ave N Apt 204, Seattle, WA 98103-7126 | 2020-06-30 |
| 1790302610 | Clare Bawden | Dietitian, Registered | 7408 28th Ave Nw, Seattle, WA 98117-5951 | 2020-06-26 |
| 1366068744 | Tracey Kmiecik | Dietitian, Registered | 5450 Leary Ave Nw Apt 643, Seattle, WA 98107-4081 | 2020-06-22 |
| Find all providers in SEATTLE | ||||
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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.