Winifred Aghoghovbia Simon, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP145967 Issued in TX

Practice address

5505 Broadway Blvd Ste B
Garland, TX 75043-3671

Phone

(214) 275-5256

Fax

(214) 275-5284

NPI assigned

Dec 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Merit-based Incentive Payment System (MIPS)

Final score

95.1 of 100Reported as group

Quality

88.97

Promoting interoperability

79

Improvement activities

40

Cost

83.75

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wsimon32689@direct.phhs.org

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.

• Dallas County Hospital District

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1649278995
  Medicare reassignment
• Dallas County Hospital District

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1134377427

  Family

  NPD
• Dallas County Hospital District

  • Women's Health Nurse Practitioner
  • Dallas, TX
  • NPI 1558035188

  Family

  NPD
• Dallas County Hospital District

  • Women's Health Nurse Practitioner
  • Dallas, TX
  • NPI 1831198506

  Family

  NPD

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1093301228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 BROADWAY BLVD STE B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433671",
            "telephone_number": "214-275-5256",
            "fax_number": "214-275-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 BROADWAY BLVD STE B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433671",
            "telephone_number": "214-275-5256",
            "fax_number": "214-275-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "WINIFRED",
        "middle_name": "AGHOGHOVBIA",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EMR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "10729 Audelia Rd Ste 210",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752381000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charles William Siebert Jr., DPM
• Sierra Sleep Sciences
• Lorena Evelyn Silva Cavalcante, PT
• Silverage Home Health Care Service Inc
• Shirley Denise Simmons
• Simplicity Health Care Services
• Sarah Simpson, MS CCC SLP
• Gabriela Marie Sims, DPT
• Ramin Siroosian, D.C.
• Johanna S Sison Limsenben, M.D.

• Family Nurse Practitioner in Garland, TX
• Providers in Garland, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.

Verify at the official NPI Registry.