Individual provider Active NPI

Brian M Simons, RN

  • Psychiatric/Mental Health Registered Nurse
  • Solon Springs, WI
National Provider Identifier
1245591312
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
R 199881-0 Issued in MN
Practice address
7222 S County Rd E
Solon Springs, WI 54873-8297
Phone
(715) 817-4661
NPI assigned
Jun 5, 2012
Last updated
Feb 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R 199881-0 MN
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X R 199881-0 MN
Critical Care Medicine Registered Nurse 163WC0200X R 199881-0 MN
Case Management Registered Nurse 163WC0400X R 199881-0 MN
General Practice Registered Nurse 163WG0000X R 199881-0 MN
Home Health Registered Nurse 163WH0200X R 199881-0 MN
Pediatric Registered Nurse 163WP0200X R 199881-0 MN
Psychiatric/Mental Health Registered Nurse 163WP0808X R 199881-0 MN Primary
Administrator Registered Nurse 163WA2000X R199881-0 MN
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X R199881-0 MN

Addresses

Primary practice location

7222 S County Rd E
Solon Springs, WI 54873-8297

Mailing address

7222 S County Rd E
Solon Springs, WI 54873-8297

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R 199881-0MNMDCase Management Registered Nurse
R199881-0MNMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1245591312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 S COUNTY RD E",
            "city": "SOLON SPRINGS",
            "state": "WI",
            "postal_code": "548738297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7222 S COUNTY RD E",
            "city": "SOLON SPRINGS",
            "state": "WI",
            "postal_code": "548738297",
            "telephone_number": "715-817-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "BRIAN",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 199881-0",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "R 199881-0",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MN",
            "license": "R 199881-0",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MN",
            "license": "R 199881-0",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MN",
            "license": "R 199881-0",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "R 199881-0",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MN",
            "license": "R 199881-0",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MN",
            "license": "R 199881-0",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MN",
            "license": "R199881-0",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MN",
            "license": "R199881-0",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon Springs, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.