Carole K Simo, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R219656 Issued in MD

Practice address

1403 Madison Park Dr Ste 200
Glen Burnie, MD 21061-6427

Phone

(410) 487-6902

Fax

(410) 487-6982

NPI assigned

Jul 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1114599560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 MADISON PARK DR STE 200",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616427",
            "telephone_number": "410-487-6902",
            "fax_number": "410-487-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MADISON PARK DR STE 200",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616427",
            "telephone_number": "410-487-6902",
            "fax_number": "410-487-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMO",
        "first_name": "CAROLE",
        "middle_name": "K",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R219656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sightrite Medical MD LLC
• Janet Silber, LCSW-C
• Michele Silver-Aylaian, PHD
• Ozwanna Silver
• Emily F Sim, D.O.
• Dagobert Simo, MD
• Sarah Horsey Simpson, PHD
• Sinad Home Care Services LLC
• Valerie Sinady, NP
• Sinai Hospital of Baltimore Inc

• Family Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.