Priscilla Marie Simms-Roberson, ADVANCE ADULT NURSE

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12344 Issued in TN

Practice address

3905 Hixson Pike Ste 103
Chattanooga, TN 37415-3569

Phone

(423) 756-1506

Fax

(423) 756-1909

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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 TN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: priscillasimms-roberson@tnmhpf.allscriptsdirect.net

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

• Memorial Health Partners Foundation Inc

  • Rural Health Clinic/Center
  • Trenton, GA
  • NPI 1467602482
  NPD

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1285792705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 GUNBARREL RD STE 230",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 HIXSON PIKE STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153569",
            "telephone_number": "423-756-1506",
            "fax_number": "423-756-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS-ROBERSON",
        "first_name": "PRISCILLA",
        "middle_name": "MARIE",
        "credential": "ADVANCE ADULT NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan A Simeone, MD
• Carrie B Simmons, M.M.F.T.
• Heather Lynn Simmons
• Rhonda Joy Edmons Simmons, APN-BC
• Terrie Simmons
• Cassandra Goins Simms, MD
• Rena Simon, PA-C
• Simplicity Health and Wellness, LLC
• Aduke Simpson, M.D.
• Dana Simpson, FNP

• Family Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.