Individual provider Active NPI

Rickie Tobias Simpson, PHD, PMHCNS-BC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Manassas, VA
National Provider Identifier
1235228701
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
0015000665 Issued in VA
Practice address
9240B Mosby St
Manassas, VA 20110-5038
Phone
(703) 335-1203
Fax
(703) 335-1584
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 0015000665 VA Primary

Addresses

Primary practice location

9240B Mosby St
Manassas, VA 20110-5038

Mailing address

9240B Mosby St
Manassas, VA 20110-5038
Phone (703) 335-1203

Other identifiers 1

IdentifierTypeStateIssuer
163WP0809OtherVAPSYCHIATRIC/MENTAL HEALT,

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0015000665VAMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1235228701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240B MOSBY ST",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105038",
            "telephone_number": "703-335-1203",
            "fax_number": "703-335-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240B MOSBY ST",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105038",
            "telephone_number": "703-335-1203",
            "fax_number": "703-335-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "RICKIE",
        "middle_name": "TOBIAS",
        "name_prefix": "Dr.",
        "credential": "PHD, PMHCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0015000665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRIC/MENTAL HEALT,",
            "identifier": "163WP0809",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.