Individual provider Active NPI

Barbara L Simon, NP

  • Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1104854322
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP111818 Issued in TX
Practice address
490 Ih 10 N Ste 100
Beaumont, TX 77702-1819
Phone
(409) 212-9988
Fax
(409) 832-1664
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 AP111818 TX
Nurse Practitioner 363L00000X AP111818 TX Primary

Addresses

Primary practice location

490 Ih 10 N Ste 100
Beaumont, TX 77702-1819

Mailing address

PO Box 7410
Beaumont, TX 77726-7410
Phone (409) 835-2112

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071226000432 TX Practitioner - Nurse Practitioner 5799875043 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP111818TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical Group Inc CurrentSince May 9, 2020 Accepting new patients
Cardiac Imaging Inc Past Accepting new patients
Southeast Emergency Physician Associates, P.a. Past Accepting new patients
Best Care Pediatrics PastSince May 9, 2020 Accepting new patients
Jefferson Emergency Medicine Associates PA Nurse Practitioner Past Accepting new patients

Locations

490 Interstate 10 N
Ste 100
Beaumont, TX 77702
Phone (409) 212-9988

12377 Merit Dr
Ste 300
Dallas, TX 75251

10058A Long Point Rd
Houston, TX 77055
Phone (832) 380-3980

222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039

122 W John Carpenter Fwy
Ste 420
Irving, TX 75039

Organizations & group practices 5

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1104854322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7410",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777267410",
            "telephone_number": "409-835-2112",
            "fax_number": "409-839-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 IH 10 N STE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021819",
            "telephone_number": "409-212-9988",
            "fax_number": "409-832-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "BARBARA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP111818",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP111818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.