TRACI SIMONTON (NPI# 1801049457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801049457 |
| Entity Type | Individual |
| Full Name | TRACI SIMONTON |
| Credential | RD CDN |
| Practice Address |
161 Rombout Rd Poughkeepsie NY 12603-6217 |
| Practice Telephone | 9144743795 |
| Mailing Telephone | 9144743795 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
005062-1 | NY | Dietary & Nutritional Service Providers |
| Street Address |
161 ROMBOUT RD |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12603-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346495975 | Nutrition Works, Inc. | Early Intervention Provider Agency | 161 Rombout Rd, Poughkeepsie, NY 12603-6217 | 2008-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831712082 | Hudson Valley Radiologists, PC | Radiology | 23 Sommerset Rd, Poughkeepsie, NY 12603 | 2020-05-22 |
| 1013555812 | Jaclyn Anne Johnson | Licensed Practical Nurse | 370 Cedar Valley Rd, Poughkeepsie, NY 12603 | 2019-12-12 |
| 1790345189 | Nirja Kumar | Counselor | 514 Height Ave, Poughkeepsie, NY 12603 | 2019-06-18 |
| 1790349512 | Mariama-seray Binta Barrie | Nurse Practitioner | 50 Eastdale Avenue, Poughkeepsie, NY 12603 | 2019-04-26 |
| 1871066670 | Heather Greer Belding-wilson | Dietitian, Registered | 76 Firemen's Way, Poughkeepsie, NY 12603 | 2019-01-04 |
| 1861968927 | Cynthia Lee Specht | Registered Nurse | 488 Freedom Plains Rd Ste 122, Poughkeepsie, NY 12603 | 2018-10-16 |
| 1740772177 | Courtney W Albert, Mental Health Counseling, Pllc | Counselor | 2 - 4 Austin Court, Poughkeepsie, NY 12603 | 2018-06-01 |
| 1649797820 | Kaizen Physical Therapy P.l.l.c. | Clinic/Center | 26 Cooper Rd Apt 715, Poughkeepsie, NY 12603 | 2017-08-28 |
| 1740704998 | Kimberly Cwik | Licensed Practical Nurse | 14 Westend Avenue, Poughkeepsie, NY 12603 | 2017-07-31 |
| 1114389426 | Gina Huss | Case Manager/Care Coordinator | 6 Deer Run Rd, Poughkeepsie, NY 12603 | 2016-03-25 |
| Find all providers in zip 12603 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750829305 | Maureen Elizabeth Ferrino | Dietitian, Registered | 8160 Lake Shore Rd, Angola, NY 14006-9762 | 2017-02-03 |
| 1386009736 | Brianna Meghan Burghard | Dietitian, Registered | Hsc 11 Rm 048, Stony Brook, NY 11794-8111 | 2015-12-29 |
| 1720450695 | Rachel Hochstadt | Dietitian, Registered | 22202 Town Green Dr, Elmsford, NY 10523-1685 | 2015-10-30 |
| 1497168678 | Danielle Viola | Dietitian, Registered | 34 Crestone Rd, Albany, NY 12205-3209 | 2014-06-05 |
| 1548686132 | Osarose Izevbizua | Dietitian, Registered | 500 Peconic St Apt 96a, Ronkonkoma, NY 11779-7124 | 2014-03-06 |
| 1194085191 | Dina Nicole Worley | Dietitian, Registered | 938 Remington Dr, North Tonawanda, NY 14120-2947 | 2012-05-23 |
| 1073894945 | Angela Maria Schettino | Dietitian, Registered | 3730 Bernard Dr, Wantagh, NY 11793-1650 | 2011-09-06 |
| 1114208089 | Jacqueline E Martin | Dietitian, Registered | 13 Avenue Louise, Massapequa Park, NY 11762-3207 | 2011-09-06 |
| 1902040868 | Maria Dinglasan Kaufer | Dietitian, Registered | 11150 75th Rd, Suite 35a, Forest Hills, NY 11375-6332 | 2009-04-22 |
| 1235384223 | Susan Lee Phillips | Dietitian, Registered | 6 Jodi Ct, Glen Cove, NY 11542-1479 | 2008-11-18 |
| Find all providers with the same taxonomy | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12603 |
Please comment or provide details below to improve the information on TRACI SIMONTON.
| 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.