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Simone E Nicolas , RDN CDN

Dietitian, Registered β€’ Valley Stream, NY

Active NPI 1194020933 Individual Practitioner Female Practitioner
Practice location in NPPES

1108 Marc Dr
Valley Stream, NY 115812536

Call 5168377554 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1108 Marc Dr

Valley Stream, NY 115812536

Telephone 5168377554

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Valley Stream and New York

13 active clinicians are listed under Dietitian, Registered with a practice address in Valley Stream, NY (4,725 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Valley Stream

7.7% of these 13 clinicians have the CMS telehealth indicator.

15.4% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-28
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES NY 48 0066642

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Nutritionist - Nutrition, Education

NUCC Taxonomy Code: 133NN1002X

License # reported to NPPES NY 48 006642
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ‘€
Provider Name / Credentials Updated November 28, 2023

Recorded as SIMONE NICOLAS, RDN CDN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2023

Dietitian, Registered (license number reported to NPPES: NY 48 0066642)

βœ…
NPI Profile Active January 25, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 25, 2011

Registered at 1108 MARC DR, VALLEY STREAM, NY 115812536 (Tel: 5168377554)

πŸ“
Business Mailing Address (Initial Record) January 25, 2011

Registered at 1108 MARC DR, VALLEY STREAM, NY 115812536 (Tel: 5168377554)

πŸ‘€
Provider Name / Credentials (Initial Record) January 25, 2011

Recorded as SIMONE NICOLAS, RD CDN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2011

Nutritionist (license number reported to NPPES: NY 48 006642)

🟒
Initial NPI Registration & Enumeration January 25, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194020933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2011
Last Update: November 28, 2023
Sole Proprietor: Yes

Mailing Address

1108 Marc Dr

Valley Stream, NY 115812536

Phone: 5168377554

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.