Individual provider Active NPI

Simone Harris, APRN

  • Family Nurse Practitioner
  • Sanford, FL
National Provider Identifier
1073378295
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029684 Issued in FL
Practice address
4930 E Lake Mary Blvd
Sanford, FL 32771-5003
Phone
(407) 322-8645
NPI assigned
Feb 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN05251 RI
Family Nurse Practitioner 363LF0000X APRN11029684 FL Primary

Addresses

Primary practice location

4930 E Lake Mary Blvd
Sanford, FL 32771-5003

Mailing address

2350 Carrabelle Way
Sanford, FL 32771-4816
Phone (706) 254-6991

Other practice location 1

560 Cumberland Hill Rd
Woonsocket, RI 02895-5635
Phone (800) 411-6768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621000261 FL Practitioner - Nurse Practitioner 8729521505

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Family Health Center, IncGroup PAC ID 3870519234, shared by 13 NPIs, 17 clinicians

Practice addresses (Care Compare)

4930 E Lake Mary Blvd
Sanford, FL 32771-5003
Phone 40732286452011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Family Health Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: simone.harris.1@20432.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1073378295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 CARRABELLE WAY",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327714816",
            "telephone_number": "706-254-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 E LAKE MARY BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715003",
            "telephone_number": "407-322-8645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Cumberland Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028955635",
            "country_code": "US",
            "telephone_number": "800-411-6768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SIMONE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN05251",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.