SYNOVIA J SIMONS (RDN) – Registered Dietitian, NPI 1174189534

SYNOVIA J SIMONS (RDN) is a healthcare provider. based in Wesley chapel, Florida. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RDN. They hold a License No. LD008045 (GA). The NPI Number for SYNOVIA J SIMONS (RDN) is 1174189534

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SYNOVIA J SIMONS (RDN)
NPI
1174189534
Phone
(252) 267-6580
Address
2229 MARSH VIEW DR UNIT 203
Enumeration Date
11 May 2019
Last Update Date
25 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
1355670597
Professional Enrollment ID
I20260204000779
Address ID
MI483755384NO39555PLXX401

Contacts

Secure Messaging
synovia@thedysfunctionaldietitian.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness95
Years active:7State licenses:4Other names

355 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in FL

Provider Addresses for SYNOVIA J SIMONS (RDN)

  • 2229 MARSH VIEW DR UNIT 203

    WESLEY CHAPEL, FL 335444718

    Phone: (252) 267-6580

    Type: Location

  • 6100 Harris Pkwy Ste 140

    Fort Worth, TX 761324130

    Phone: (206) 895-4292

    Fax: (833) 760-3930

    Type: Location

  • PO BOX 1402

    RIVERVIEW, FL 335681402

    Phone: (813) 847-9705

    Type: Mailing

  • 10810 BOYETTE RD UNIT 1402

    RIVERVIEW, FL 335698000

    Phone: (252) 267-6580

    Type: Location

  • 2229 Marsh View Dr Unit 203

    Wesley Chapel, FL 335444718

    Phone: (252) 267-6580

    Type: Location

  • 655 E River Rd Unit 201

    Tucson, AZ 857045853

    Phone: (206) 895-4292

    Fax: (833) 973-4034

    Type: Location

  • 828 Healthy Way Ste 330

    Virginia Beach, VA 234627959

    Phone: (206) 895-4292

    Fax: (833) 760-3946

    Type: Location

  • 1560 Turf Ln

    East Lansing, MI 488236392

    Phone: (206) 895-4292

    Fax: (833) 603-3927

    Type: Location

  • 200 Perimeter Park Dr Ste C

    Morrisville, NC 275609714

    Phone: (206) 895-4292

    Fax: (833) 450-5528

    Type: Location

  • 5323 4th Avenue Cir E

    Bradenton, FL 342085623

    Phone: (206) 895-4292

    Fax: (833) 973-4033

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190912002117IRegistered Dietitian Or Nutrition ProfessionalFLTBD
I20250925003984IRegistered Dietitian Or Nutrition ProfessionalVATBD
I20251002004555IRegistered Dietitian Or Nutrition ProfessionalAZTBD
I20260113003890IRegistered Dietitian Or Nutrition ProfessionalTXTBD
I20260204000779IRegistered Dietitian Or Nutrition ProfessionalMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33544)

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Reviews

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Frequently asked questions

Can I cross-check SYNOVIA J SIMONS (RDN) using NPI 1174189534?
NPI 1174189534 belongs to SYNOVIA J SIMONS (RDN); compare other details if you need extra assurance.
Active or inactive — what applies to SYNOVIA J SIMONS (RDN)?
You should see SYNOVIA J SIMONS (RDN) as active in CMS-hosted NPPES data.
What area of care is associated with SYNOVIA J SIMONS (RDN)?
SYNOVIA J SIMONS (RDN)'s record emphasizes Registered Dietitian. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SYNOVIA J SIMONS (RDN)?
Travel planning: use Wesley Chapel, Florida as the reference point for SYNOVIA J SIMONS (RDN), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.