National Provider Identifier Database

TRACI SIMONTON, RD CDN – NPI #1801049457
Nutrition, Pediatric

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.


Contact Information

TRACI SIMONTON, RD CDN
161 ROMBOUT RD
POUGHKEEPSIE, NY12603-6217
Phone: 914-474-3795
Fax:
Website:
Specialty Taxonomy Code
* Nutrition, Pediatric 133VN1004X

* Indicates primary specialty

NPI Profile & details for TRACI SIMONTON

NPI Number 1801049457
Credentials RD CDN
Entity Individual
Enumeration date 10/28/2008
Last updated 10/28/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 005062-1
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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