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STACEY SIMON NUTRITION LLC
NPI 1962159384
Dietitian, Registered in Chappaqua, NY

Active since March 05, 2022
480 BEDFORD RD STE 3201, CHAPPAQUA, NY 10514(603) 264-7382 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2026, Nov 22, 2022, Mar 5, 2022 (3 updates tracked since 2022).

About Stacey Simon Nutrition Llc NPPES

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

STACEY SIMON NUTRITION LLC (NPI 1962159384) is a healthcare organization registered as a dietitian, registered in Chappaqua, New York and active in the NPI registry since March 2022. The organization maintains a secondary practice location in Pleasantville and lists Stacey Elizabeth Simon, Owner, as its authorized official.

NPPES Registry Identity

NPI1962159384
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameSTACEY SIMON NUTRITION LLC
Location Address480 BEDFORD RD STE 3201Chappaqua, NY 10514-1726
Mailing Address98 Deerfield Ln NPleasantville, NY 10570-1406 · (603) 264-7382
Phone(603) 264-7382
Organization SubpartNo
Authorized OfficialStacey Elizabeth SimonOwner · (603) 264-7382
Enumeration DateMarch 5, 2022
Last NPPES UpdateMarch 25, 20263 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1962159384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
Also ListedDietitian, Registered · Nutrition, GerontologicalTaxonomy 133VN1101X
480 BEDFORD RD STE 3201, Chappaqua, NY 10514
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Secondary Practice Location 1

Location 198 Deerfield Ln NPleasantville, NY 10570-1406 · Phone (603) 264-7382

Other Identifiers 1

Other6303777NY · Cigna

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. MARTA P FLAUM PHD
Psychologist (Clinical Child & Adolescent)
480 BEDFORD RD STE 3201
CHAPPAQUA, NY 10514
Westchester County (914) 238-1438
JAQUETTA JENKINS
Case Manager/Care Coordinator
480 BEDFORD RD STE 3201
CHAPPAQUA, NY 10514
Westchester County (914) 623-2076
NODELIE PARKIN
Technician, Pathology (Phlebotomy)
480 BEDFORD RD STE 3201
CHAPPAQUA, NY 10514
Westchester County (914) 800-7963
MS. STACEY ELIZABETH SIMON RD
Dietitian, Registered
480 BEDFORD RD STE 3201
CHAPPAQUA, NY 10514
Westchester County (603) 264-7382

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 Stacey Simon Nutrition LLC's NPI number?

The NPI number for Stacey Simon Nutrition LLC is 1962159384. It was assigned to this organization in the NPPES registry on March 5, 2022.

Where is Stacey Simon Nutrition LLC located?

Stacey Simon Nutrition LLC is located at 480 Bedford Rd Ste 3201, Chappaqua, NY 10514. The listed phone number is (603) 264-7382.

What is Stacey Simon Nutrition LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacey Simon Nutrition LLC was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.