Bethany Shavon Sims, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95008426 Issued in CA

Practice address

500 W San Bernardino Rd Ste B
Covina, CA 91722-3797

Phone

(626) 960-2326

NPI assigned

Mar 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bethany Kidd Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1144781691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 IMPERIAL HWY APT G108",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423224",
            "telephone_number": "951-847-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W SAN BERNARDINO RD STE B",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223797",
            "telephone_number": "626-960-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "BETHANY",
        "middle_name": "SHAVON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "KIDD",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dejanique Simmons
• Sharon Simms
• Matthew Simok, ATC
• Tiara Simonton
• Amelia Louise Sims, LCSW
• Parvinder Singh
• Ziccarreia Eunice Singleton
• Pui Hong Siu
• Steven I Skurow, D.D.S.
• Skyline Imaging LLC

• Family Nurse Practitioner in Covina, CA
• Providers in Covina, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.