Individual provider Active NPI

Renae Simms, MS

  • Behavior Analyst
  • Corona, CA
National Provider Identifier
1003329368
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1295 Corona Pointe CT
Corona, CA 92879-1703
Phone
(855) 223-7123
NPI assigned
Nov 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X NV
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1295 Corona Pointe CT
Corona, CA 92879-1703

Mailing address

560 E Hospitality LN Ste 400
San Bernardino, CA 92408-3545
Phone (909) 238-0476

Other practice location 1

560 E Hospitality Ln Ste 400
San Bernardino, CA 92408
Phone (909) 891-1599

Other practice location 2

15212 Sequoia St Apt 13
Hesperia, CA 92345-1680
Phone (909) 238-0476

Other practice location 3

1200 S Torrey Pines Dr
Las Vegas, NV 89146-1013
Phone (760) 646-1325

Other identifiers 2

IdentifierTypeStateIssuer
225400000XMedicaidNV
225400000XMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1003329368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 E HOSPITALITY LN STE 400",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083545",
            "telephone_number": "909-238-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 CORONA POINTE CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791703",
            "telephone_number": "855-223-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 E Hospitality Ln Ste 400",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "92408",
            "country_code": "US",
            "telephone_number": "909-891-1599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15212 Sequoia St Apt 13",
            "address_purpose": "LOCATION",
            "city": "Hesperia",
            "state": "CA",
            "postal_code": "923451680",
            "country_code": "US",
            "telephone_number": "909-238-0476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 S Torrey Pines Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891461013",
            "country_code": "US",
            "telephone_number": "760-646-1325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "RENAE",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225400000X",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225400000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.