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JUDY D. SIMON RD, MS
NPI 1811910755
Dietitian, Registered in Seattle, WA

Active since July 25, 2006
4245 ROOSEVELT WAY, BOX 356057, SEATTLE, WA 98195(206) 598-4055(206) 598-5792 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Judy D. Simon Rd, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDY D. SIMON RD, MS (NPI 1811910755) is an individual dietitian, registered in Seattle, Washington, licensed in Washington (DI00001314) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1811910755
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJUDY D. SIMONCredential: RD, MS
Location Address4245 ROOSEVELT WAY, BOX 356057Seattle, WA 98195-0001
Mailing AddressPo Box 24366, M/s 359107Seattle, WA 98124-0366 · (206) 598-8920 · Fax (206) 598-7663
Phone(206) 598-4055
Fax(206) 598-5792
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1811910755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in WA · DI00001314
Definition
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.
4245 ROOSEVELT WAY, Seattle, WA 98195
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Other Names 1

Other Name (5)Judy D. Gardner

Other Identifiers 2

Medicare UPINP54963
Medicare PINAB37873WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judy D. Simon Rd, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Judy Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Washington
0.8 mi
Oral and Maxillofacial Pathology
1959 NE PACIFIC ST
Seattle, WA 98195
  • Reassigned Medicare billing, Washington enrollment
  • 274 clinicians in this Medicare group
NPI 1104900398 (206) 616-8794

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

H. PAGE BALDWIN MSW
Social Worker (Clinical)
4245 ROOSEVELT WAY, BOX 354760
SEATTLE, WA 98195
King County (206) 598-4394
JENNIFER A. LAVINE MSW
Social Worker (Clinical)
4245 ROOSEVELT WAY, BOX 354780
SEATTLE, WA 98195
King County (206) 598-4370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judy Simon's NPI number?

The NPI number for Judy Simon is 1811910755. It was assigned to this individual provider in the NPPES registry on July 25, 2006. The provider is also known as Judy D. Gardner.

Where is Judy Simon located?

Judy Simon practices at 4245 Roosevelt Way Box 356057, Seattle, WA 98195. The listed phone number is (206) 598-4055.

What is Judy Simon's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Judy Simon enrolled in Medicare?

Yes. Judy Simon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Judy Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judy Simon reassigns Medicare benefits to University Of Washington (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judy Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Judy Simon accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Judy Simon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Judy Simon was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.