Active NPI
Brian M Simons, RN
- Psychiatric/Mental Health Registered Nurse
- Solon Springs, WI
National Provider Identifier
1245591312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- R 199881-0
- 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, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R 199881-0 | MN | MD | Case Management Registered Nurse |
| R199881-0 | MN | MD | Adult 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.