Active NPI
Terri Lynn Simmons, LM, CPM
- Lay Midwife
- Albuquerque, NM
National Provider Identifier
1154450229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lay Midwife
- License
- 00408R
- Practice address
- 2303 Meadow Rd SW
Albuquerque, NM 87105-4916 - Phone
- (505) 243-6116
- NPI assigned
- Mar 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | 00408R | NM | Primary |
Addresses
Primary practice location
2303 Meadow Rd SW
Albuquerque, NM 87105-4916
Mailing address
2303 Meadow Rd SW
Albuquerque, NM 87105-4916
Phone (505) 243-6116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98553763 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00408R | NM | MD | Lay Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luna Y Sol Midwifery, Servicios de Parteria | Midwife, Lay | Past | Accepting new patients |
Organizations & group practices 1
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": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1154450229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2303 MEADOW RD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871054916",
"telephone_number": "505-243-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 MEADOW RD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871054916",
"telephone_number": "505-243-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "TERRI",
"middle_name": "LYNN",
"credential": "LM, CPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": "NM",
"license": "00408R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "98553763",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.