Individual provider Active NPI

Crickett Simmons, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Centennial, CO
National Provider Identifier
1003405325
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
830871 Issued in TX
Practice address
9094 E Mineral Cir Ste 100
Centennial, CO 80112-7201
Phone
(303) 694-3200
Fax
(303) 694-2680
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 1691278 CO
Lactation Consultant (Registered Nurse) 163WL0100X 830871 TX Primary

Addresses

Primary practice location

9094 E Mineral Cir Ste 100
Centennial, CO 80112-7201

Mailing address

9094 E Mineral Cir Ste 100
Centennial, CO 80112-7201
Phone (303) 694-3200

Other practice location 1

8331 S Continental Divide Rd
Littleton, CO 80127-4231
Phone (303) 973-3200

Other practice location 2

16830 Northgate Dr Unit 150
Parker, CO 80134-5778
Phone (303) 805-7879

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1691278COMDLactation Consultant (Registered Nurse)
830871TXMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Pediatrics PC PastSince Feb 13, 2022 Accepting new patients
Greenwood Pediatrics PC PastSince Jan 14, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1003405325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9094 E MINERAL CIR STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801127201",
            "telephone_number": "303-694-3200",
            "fax_number": "303-694-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9094 E MINERAL CIR STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801127201",
            "telephone_number": "303-694-3200",
            "fax_number": "303-694-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8331 S Continental Divide Rd",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801274231",
            "country_code": "US",
            "telephone_number": "303-973-3200",
            "fax_number": "303-904-8510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16830 Northgate Dr Unit 150",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801345778",
            "country_code": "US",
            "telephone_number": "303-805-7879",
            "fax_number": "303-805-8076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CRICKETT",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CO",
            "license": "1691278",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "830871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.