Individual provider Active NPI

Linda Simmons, RN

  • General Practice Registered Nurse
  • Jacksonville, FL
National Provider Identifier
1245967264
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN9521987 Issued in FL
Practice address
4095 Sherman Hills Pkwy W
Jacksonville, FL 32210-0438
Phone
(904) 678-5367
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN9521987 FL Primary

Addresses

Primary practice location

4095 Sherman Hills Pkwy W
Jacksonville, FL 32210-0438

Mailing address

4095 Sherman Hills Pkwy W
Jacksonville, FL 32210-0438
Phone (904) 678-5367

Other names 1

  • Linda Moore Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL LOVEANDNURTURING.COM Health Information Exchange (HIE)

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
RN9521987FLMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1245967264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 SHERMAN HILLS PKWY W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322100438",
            "telephone_number": "904-678-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 SHERMAN HILLS PKWY W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322100438",
            "telephone_number": "904-678-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "LINDA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9521987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LOVEANDNURTURING.COM",
            "affiliation": "N",
            "endpointDescription": "HEALTHCARE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4095 Sherman Hills Pkwy W",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322100438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "MOORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.