Active NPI
Rachel Simkins
- Athletic Trainer
- Amsterdam, NY
National Provider Identifier
1174069140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 003349
- Practice address
- 5010 State Highway 30
Suite G03
Amsterdam, NY 12010-7532 - Phone
- (518) 841-3406
- NPI assigned
- Jan 13, 2017
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 003349 | NY | Primary |
Addresses
Primary practice location
5010 State Highway 30
Suite G03
Amsterdam, NY 12010-7532
Mailing address
18 Ridge Ave
Warrensburg
Warrensburg, NY 12885-1724
Phone (518) 812-4307
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 |
|---|---|---|---|
| 003349 | NY | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1174069140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 RIDGE AVE",
"address_2": "WARRENSBURG",
"city": "WARRENSBURG",
"state": "NY",
"postal_code": "128851724",
"telephone_number": "518-812-4307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 STATE HIGHWAY 30",
"address_2": "SUITE G03",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120107532",
"telephone_number": "518-841-3406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMKINS",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-13",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "003349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.