Active NPI
Carol W Simmons, RN,FNP,APN
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11782
- Practice address
- 9155 Crestwyn Hills Dr
Memphis, TN 38125-8501 - Phone
- (901) 261-4848
- NPI assigned
- Dec 21, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11782 | TN | Primary |
Addresses
Primary practice location
9155 Crestwyn Hills Dr
Memphis, TN 38125-8501
Mailing address
1509 Dulles Dr
Lafayette, LA 70506-3718
Phone (337) 991-9276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3642375 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8035 Club Pkwy
Cordova, TN 38016-5977
Phone (901) 758-6035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Healthcare Community Care Associates | Current | Accepting new patients | |
| T M Carr MD PC | Current | Accepting new patients | |
| Methodist Healthcare Community Care Associates | Current | Accepting new patients | |
| Curana Health of Tennessee LLC | Family | Current | Accepting new patients |
| Carr PLLC | Current | Accepting new patients | |
| Methodist Healthcare Community Care Associates | Current | Accepting new patients | |
| Adult Primary Care of Memphis PC | Past | Accepting new patients | |
| Foundation Medical Group PLLC | Past | Accepting new patients |
Locations
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035
955 N Germantown Pkwy
Cordova, TN 38018
Phone (901) 754-1393
7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290
1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954
9155 Crestwyn Hills Dr
Memphis, TN 38125
Phone (901) 261-4848
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001
1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700
5865 Ridgeway Center Pkwy
Memphis, TN 38120
Phone (901) 219-1295
Interoperability endpoints
- csimmons24653@mlh.direct-ci.com
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Cordova, TN
- NPI 1194839241
-
- Emergency Medicine Physician
- Brentwood, TN
- NPI 1548677610
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1750761060
-
- Emergency Medicine Physician
- Dyersburg, TN
- NPI 1992706097
-
- Urgent Care Clinic/Center
- Memphis, TN
- NPI 1326152455
-
- Corporate Health Clinic/Center
- Memphis, TN
- NPI 1699941195
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1376738906
-
- Internal Medicine Physician
- Germantown, TN
- NPI 1306903927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428364800000",
"number": "1003892951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 DULLES DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705063718",
"telephone_number": "337-991-9276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9155 CRESTWYN HILLS DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381258501",
"telephone_number": "901-261-4848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "CAROL",
"middle_name": "W",
"name_prefix": "Ms.",
"credential": "RN,FNP,APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-21",
"last_updated": "2015-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "11782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3642375",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.