Individual provider Active NPI

Deborah Williams-Simmons, DNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1104367713
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016672 Issued in PA
Practice address
1080 N Delaware Ave Ste 800
Philadelphia, PA 19125-4338
Phone
(267) 463-5800
Fax
(215) 707-6867
NPI assigned
Mar 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP016672 PA Primary

Addresses

Primary practice location

1080 N Delaware Ave Ste 800
Philadelphia, PA 19125-4338

Mailing address

1080 N Delaware Ave Ste 800
Philadelphia, PA 19125-4338
Phone (267) 463-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170621000153 PA Practitioner - Nurse Practitioner 4880962505 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016672PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Alignmed Partners, PC CurrentSince Mar 29, 2019 Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Feb 10, 2024 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 9, 2019 Accepting new patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Feb 10, 2024 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 9, 2019 Accepting new patients
Greater Philadelphia Health Action Inc. Past Accepting new patients

Locations

549 Baltimore Pike
Glen Mills, PA 19342
Phone (610) 358-6005

1718 Spring Creek Rd
Macungie, PA 18062
Phone (610) 366-0500

1194 Naamans Creek Rd
Marcus Hook, PA 19060
Phone (610) 358-6005

2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

1080 N Delaware Ave
Ste 800
Philadelphia, PA 19125
Phone (267) 463-5800

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

1080 N Delaware Ave
Philadelphia, PA 19125
Phone (215) 287-2114

8815 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8145

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

5501 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-0600

100 Edella Rd
South Abington Township, PA 18411
Phone (570) 586-1002

800 W Miner St
West Chester, PA 19382
Phone (484) 920-6200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1104367713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 N DELAWARE AVE STE 800",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254338",
            "telephone_number": "267-463-5800",
            "fax_number": "215-707-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N DELAWARE AVE STE 800",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254338",
            "telephone_number": "267-463-5800",
            "fax_number": "215-707-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-SIMMONS",
        "first_name": "DEBORAH",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.