Simply Vax, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SIMPLY VAX, PLLC

Practice address

239 W 67TH CT
Loveland, CO 80538-1177

Phone

(970) 599-0330

NPI assigned

Jan 2, 2022

Organization subpart

No

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

Authorized official

Name

Melissa Rhoads

Title

Director

Phone

(970) 599-0330

Specialties & licenses 1

Addresses

Other names 1

• Simply Vax, pllc Former legal business name

Locations

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642204800000",
    "number": "1013678135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 W 67TH CT",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805381177",
            "telephone_number": "970-599-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W 67TH CT",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805381177",
            "telephone_number": "970-599-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY VAX, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-02",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A",
        "authorized_official_last_name": "RHOADS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-599-0330"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Vax, pllc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Simply Vax, pllc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gina Marie Simmons, LPC,CAC III, MA
• Christine Szeibert Simon
• Kris Dexter Simon, MD
• Shavonne Simonich, FNP
• Emily Simons, MD
• John Sinclair
• Laurie Singer, CTRS
• Navjot Singh
• Priscilla Sisson, PSYD
• SKB Therapy

• Family Medicine Physician in Loveland, CO
• Providers in Loveland, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; 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.