Active NPI
Katie Elizabeth Simkow, N.P.
- Gerontology Nurse Practitioner
- Westland, MI
National Provider Identifier
1053770305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 4704273155
- Practice address
- 8365 N Newburgh Rd
Westland, MI 48185-1149 - Phone
- (734) 416-2000
- NPI assigned
- Feb 15, 2016
- Last updated
- Feb 15, 2016
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4704273155 | MI | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 4704273155 | MI |
Addresses
Primary practice location
8365 N Newburgh Rd
Westland, MI 48185-1149
Mailing address
30091 Muirland Dr
Farmington Hills, MI 48334-2052
Phone (734) 578-8870
Other names 1
- Katie Elizabeth Castelli
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- katie.simkow.1@13339.direct.athenahealth.com
- ksimkow636161@direct.hfhs.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1053770305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30091 MUIRLAND DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342052",
"telephone_number": "734-578-8870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8365 N NEWBURGH RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481851149",
"telephone_number": "734-416-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMKOW",
"first_name": "KATIE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-15",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MI",
"license": "4704273155",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704273155",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "CASTELLI",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.