Active NPI
Simpliderm, LLC
- Family Nurse Practitioner
- Lutz, FL
National Provider Identifier
1295183739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP2721582
- Legal business name
- SIMPLIDERM, LLC
- Practice address
- 17907 Sparrows Nest Drive
Suite 103
Lutz, FL 33558-8025 - Phone
- (813) 390-9896
- Fax
- (813) 265-8595
- NPI assigned
- May 25, 2016
- Last updated
- May 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William John Kras III, ARNP
- Title
- Nurse Practitioner
- Phone
- (813) 390-9897
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP2721582 | FL | Primary |
Addresses
Primary practice location
17907 Sparrows Nest Drive
Suite 103
Lutz, FL 33558-8025
Mailing address
3959 Van Dyke Rd
Suite 103
Lutz, FL 33558-8025
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464134400000",
"number": "1295183739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 VAN DYKE RD",
"address_2": "SUITE 103",
"city": "LUTZ",
"state": "FL",
"postal_code": "335588025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17907 SPARROWS NEST DRIVE",
"address_2": "SUITE 103",
"city": "LUTZ",
"state": "FL",
"postal_code": "335588025",
"telephone_number": "813-390-9896",
"fax_number": "813-265-8595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLIDERM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-25",
"last_updated": "2016-05-25",
"status": "A",
"authorized_official_last_name": "KRAS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "813-390-9897",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP2721582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.