Stephany L Simovic

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN.421469 Issued in OH

Practice address

8583 N Akins Rd Apt 104
North Royalton, OH 44133-4762

Phone

(440) 840-1192

NPI assigned

Jan 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1164792727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 LALEMANT DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295402",
            "telephone_number": "440-840-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8583 N AKINS RD APT 104",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441334762",
            "telephone_number": "440-840-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMOVIC",
        "first_name": "STEPHANY",
        "middle_name": "L",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.142821-M-IV",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "RN.421469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surekha Shah, PT
• Tetyana Shevchuk
• Carol S Shively Mizes, MT-BC, NMT FELLOW
• Andrea Lynn Shkilevich
• Bonnie Simonelli, LICDC
• Steven Paul Skory
• Danielle Smenda, RDN
• Dezare Joclyn Smith, APRN
• Milton Smith
• Megan Marie Snyder, RN

• Addiction (Substance Use Disorder) Registered Nurse in North Royalton, OH
• Providers in North Royalton, OH by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.