Active NPI
Kim Simmons, FNP-C
- Nurse Practitioner
- Sayre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP017370
- Practice address
- 1 Guthrie SQ
Sayre, PA 18840-1625 - Phone
- (570) 887-2845
- Fax
- (570) 887-2011
- NPI assigned
- Apr 7, 2017
- Last updated
- Mar 17, 2018
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP017370 | PA | Primary |
| Family Nurse Practitioner | 363LF0000X | SP017370 | PA |
Addresses
Primary practice location
1 Guthrie SQ
Sayre, PA 18840-1625
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Other practice location 1
54 Bly Rd
Pine City, NY 14871-9568
Phone (607) 733-6010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1020 Vestal Pkwy E
Vestal, NY 13850-1748
Phone (607) 444-6868
243 Maple Ave
Wellsville, NY 14895-1114
Phone (585) 593-7246
244 W Water St
Suite 105
Elmira, NY 14901-2926
Phone (607) 203-8709
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP017370 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delphi Healthcare PLLC | Nurse Practitioner | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Neurosciences Healthcare Medicine, PC | Current | Accepting new patients | |
| Neurosciences Healthcare Medicine, PC | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Delphi Hospitalist Services LLC | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients |
Locations
1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
122 W Main St
Endicott, NY 13760
Phone (607) 237-4724
845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100
1020 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 444-6868
191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJEFCD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NeuroSciences and Spine Group
- Neurological Surgery Physician
- Vestal, NY
- NPI 1497308548
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- Hospitalist Physician
- Rochester, NY
- NPI 1922270420
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Urology Physician
- Sayre, PA
- NPI 1891747085
-
dba NeuroSciences and Spine Group
- Durable Medical Equipment & Medical Supplies
- Vestal, NY
- NPI 1760203624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1083147946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQ",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401625",
"telephone_number": "570-888-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQ",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401625",
"telephone_number": "570-887-2845",
"fax_number": "570-887-2011"
}
],
"practiceLocations": [
{
"address_1": "54 Bly Rd",
"address_purpose": "LOCATION",
"city": "Pine City",
"state": "NY",
"postal_code": "148719568",
"country_code": "US",
"telephone_number": "607-733-6010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "KIM",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP017370",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP017370",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sayre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.