Active NPI
Barbara L Simon, NP
- Nurse Practitioner
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP111818
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP111818 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topcare Medical Group Inc | Current | Accepting new patients | |
| Cardiac Imaging Inc | Past | Accepting new patients | |
| Southeast Emergency Physician Associates, P.a. | Past | Accepting new patients | |
| Best Care Pediatrics | Past | 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.
-
- Specialist
- Dallas, TX
- NPI 1730337163
-
- Pediatrics Physician
- Beaumont, TX
- NPI 1134175425
-
- Emergency Medicine Physician
- Beaumont, TX
- NPI 1497966949
Nurse Practitioner
-
- Emergency Medicine Physician
- Beaumont, TX
- NPI 1235155102
-
- Mobile Radiology Clinic/Center
- Oak Brook Terrace, IL
- NPI 1770830606
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.