Individual provider Active NPI

Kirbie Lorin Sims

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1114556305
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-158218 Issued in AL
Practice address
1102 Gleneagles Dr SW
Huntsville, AL 35801-6404
Phone
(256) 881-5880
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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 1-158218 AL Primary

Addresses

Primary practice location

1102 Gleneagles Dr SW
Huntsville, AL 35801-6404

Mailing address

1102 Gleneagles Dr SW
Huntsville, AL 35801-6404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200605000721 AL Practitioner - Nurse Practitioner 3173944899
I20230523003481 OK Practitioner - Nurse Practitioner 3173944899 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Hospital Authority CurrentSince May 15, 2023 Accepting new patients
Comanche County Hospital Authority CurrentSince May 15, 2023 Accepting new patients
Comanche County Hospital Authority Past Accepting new patients
Comanche County Healthcare Past Accepting new patients

Locations

1102 S Coblake St
Apache, OK 73006
Phone (580) 588-3257

3811 W Gore Blvd
Lawton, OK 73505
Phone (580) 581-1500

5404 SW Lee Blvd
Lawton, OK 73505
Phone (580) 355-5242

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

Interoperability endpoints

  • Direct secure messaging: kirbie.sims@lawtoncommunityhealthcenter.eclinicaldirectplus.com

Organizations & group practices 4

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1114556305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 GLENEAGLES DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 GLENEAGLES DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016404",
            "telephone_number": "256-881-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "KIRBIE",
        "middle_name": "LORIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-158218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.