Active NPI
Janet Sims, BSN RN
- Administrator Registered Nurse
- Salem, MI
National Provider Identifier
1164897880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 4704178178
- Practice address
- 8291 Frederick St
Salem, MI 48175 - Phone
- (972) 834-8325
- NPI assigned
- Dec 7, 2015
- Last updated
- Dec 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 4704178178 | MI | Primary |
Addresses
Primary practice location
8291 Frederick St
Salem, MI 48175
Mailing address
8291 Frederick St
Salem, MI 48175
Phone (972) 834-8325
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704178178 | MI | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1164897880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8291 FREDERICK ST",
"city": "SALEM",
"state": "MI",
"postal_code": "48175",
"telephone_number": "972-834-8325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8291 FREDERICK ST",
"city": "SALEM",
"state": "MI",
"postal_code": "48175",
"telephone_number": "972-834-8325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "JANET",
"credential": "BSN RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-07",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "MI",
"license": "4704178178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.