Active NPI
Loura Simons, LPN
- Licensed Practical Nurse
- Searcy, AR
National Provider Identifier
1043592090
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Feb 20, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- L19843
- Practice address
- 3204 E Moore Ave
Searcy, AR 72143-4826 - Phone
- (501) 268-7777
- Fax
- (501) 278-5506
- NPI assigned
- Sep 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L19843 | AR | Primary |
Addresses
Primary practice location
3204 E Moore Ave
Searcy, AR 72143-4826
Mailing address
3204 E Moore Ave
Searcy, AR 72143-4826
Phone (501) 268-7777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ITIN | Medicaid | AR |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L19843 | AR | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1043592090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 E MOORE AVE",
"city": "SEARCY",
"state": "AR",
"postal_code": "721434826",
"telephone_number": "501-268-7777",
"fax_number": "501-278-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3204 E MOORE AVE",
"city": "SEARCY",
"state": "AR",
"postal_code": "721434826",
"telephone_number": "501-268-7777",
"fax_number": "501-278-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONS",
"first_name": "LOURA",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AR",
"license": "L19843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ITIN",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.