Sandra Simmons, DNP, CRNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R228558 Issued in MD

Practice address

3405 Olandwood CT Ste 102
Olney, MD 20832-1447

Phone

(410) 290-6677

NPI assigned

Jul 26, 2024

Last updated

Aug 1, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gastro Center of Maryland LLC

  • Gastroenterology Physician
  • Columbia, MD
  • NPI 1164609111

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1174352462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 OLANDWOOD CT STE 102",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321447",
            "telephone_number": "410-290-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 OLANDWOOD CT STE 102",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321447",
            "telephone_number": "410-290-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "SANDRA",
        "credential": "DNP, CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R228558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renadin Miemanang Siagat, PHARMD, PHD, BCRCP
• Grace Elizabeth Sier
• Sharon K Sierra-Koscinski, MSW, LCSW-C
• Mary Angela Silverman, R.N.,M.S.N.,C.A.N.P
• Sangeeta Simlote
• Kevin Paul Simms, MD LC1039
• Teresa Simpson, PHYSICAL THERAPIST
• Sinai Hospital of Baltimore, Inc.
• Ellen Carol Singer, LCSW-C
• Alessandra Maria Slavin, LCSW-C

• Family Nurse Practitioner in Olney, MD
• Providers in Olney, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.