Provider Demographics
NPI:1659567667
Name:SIMPSON, SHEILA ANDREA (RD, LD/N)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:ANDREA
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:RD, LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 W 47TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2906
Mailing Address - Country:US
Mailing Address - Phone:786-229-7947
Mailing Address - Fax:305-695-4400
Practice Address - Street 1:925 W 47TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33140-2906
Practice Address - Country:US
Practice Address - Phone:786-229-7947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND9900133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered