Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811319098 Individual Practitioner Female Practitioner

Stacey Elizabeth Simon , RD

Dietitian, Registered • Chappaqua, NY

Professional Overview & Biography Verified Profile Summary

Stacey Simon, RD is a registered healthcare professional specializing in Dietitian, Registered in Chappaqua, NY. Practice services are available at 480 BEDFORD RD STE 3201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

480 Bedford Rd Ste 3201

Chappaqua, NY 105141726

Telephone 6032647382
Associated Practice Facility / Clinic
🏢 Stacey Simon Nutrition Llc Facility NPI 1962159384

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Chappaqua, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Chappaqua, NY (4786 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-19
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License NY 86007711

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.

Dietitian, Registered - Nutrition, Gerontological

NUCC Taxonomy Code: 133VN1101X

State License NY 86007711

An individual who is a Specialist in Gerontological Nutrition and provides nutrition care to promote quality of life and optimal health for older adults across the continuum of care, including: acute care, post-acute care, primary care, long-term care, assisted living, home care, palliative care, community-based nutrition, food service, correctional facilities, and government programs. RDN who works indirectly with gerontological nutrition through roles in management, industry, education, and research.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Registered Dietitian
86007711

Secondary Practice Locations

98 Deerfield Ln N

Pleasantville, NY 105701406

Phone: 6032647382

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Marta Flaum , PhD

Psychologist - Clinical Child & Adolescent

NPI 1598527624

Doctor of Philosophy (Ph.D.)

Jaquetta Jenkins

Case Manager/Care Coordinator

NPI 1639955701
Nodelie Parkin

Technician, Pathology - Phlebotomy

NPI 1679458749

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location March 19, 2026

Registered at 480 BEDFORD RD STE 3201, CHAPPAQUA, NY 105141726 (Tel: 6032647382)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2026

Dietitian, Registered (License #86007711 in NY)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2023

Dietitian, Registered (License #DT88058 in TX)

📍
Updated Practice Location November 22, 2022

Registered at 98 DEERFIELD LN N, PLEASANTVILLE, NY 105701406 (Tel: 6032647382)

📍
Updated Business Mailing Address November 22, 2022

Registered at 98 DEERFIELD LN N, PLEASANTVILLE, NY 105701406 (Tel: 6032647382)

📍
Updated Practice Location February 03, 2022

Registered at 1675 YORK AVE APT 17E, NEW YORK, NY 101286756 (Tel: 6032647382)

📍
Updated Business Mailing Address February 03, 2022

Registered at 1675 YORK AVE APT 17E, NEW YORK, NY 101286756 (Tel: 6032647382)

👤
Provider Name / Credentials Updated February 03, 2022

Recorded as STACEY SIMON, RD

NPI Profile Active March 31, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2014

Registered at 423 E 23RD ST, NEW YORK, NY 100105011 (Tel: 6032647382)

📍
Updated Business Mailing Address March 31, 2014

Registered at 423 E 23RD ST, NEW YORK, NY 100105011 (Tel: 6032647382)

👤
Provider Name / Credentials Updated March 31, 2014

Recorded as STACEY RIGGS, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2014

Dietitian, Registered (License #86007711 in NY)

🟢
Initial NPI Registration & Enumeration January 08, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811319098
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2014
Last Update: March 19, 2026
Sole Proprietor: Yes

Mailing Address

98 Deerfield Ln N

Pleasantville, NY 105701406

Phone: 6032647382

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.