Active NPI
Renae Simms, MS
- Behavior Analyst
- Corona, CA
National Provider Identifier
1003329368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225400000X | Medicaid | NV | |
| 225400000X | Medicaid | CA |
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.