Active NPI
Viola Ruthie Simms
- Recreation Therapist
- Waco, TX
National Provider Identifier
1306441894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- Practice address
- 4800 Memorial Dr
Waco, TX 76711 - Phone
- (254) 379-8155
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | Primary |
Addresses
Primary practice location
4800 Memorial Dr
Waco, TX 76711
Mailing address
4800 Memorial Dr
Waco, TX 76711
Phone (254) 379-8155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V130209 | Medicaid | TX |
Electronic endpoints 6
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cprs | Direct | |
| CONNECT URL | cprs | Direct | |
| CONNECT URL | cprs | Direct | |
| CONNECT URL | cprs | Direct | |
| CONNECT URL | cprs | Direct | |
| CONNECT URL | cprs | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1306441894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 MEMORIAL DR",
"city": "WACO",
"state": "TX",
"postal_code": "76711",
"telephone_number": "254-379-8155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 MEMORIAL DR",
"city": "WACO",
"state": "TX",
"postal_code": "76711",
"telephone_number": "254-379-8155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMS",
"first_name": "VIOLA",
"middle_name": "RUTHIE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "V130209",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cprs",
"affiliation": "N",
"endpointDescription": "charting system",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4800 Memorial dr",
"city": "waco",
"state": "TX",
"country_code": "US",
"postal_code": "76711",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cprs",
"affiliation": "N",
"endpointDescription": "charting sysytem",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4800 Memorial dr",
"city": "waco",
"state": "TX",
"country_code": "US",
"postal_code": "76711",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cprs",
"affiliation": "N",
"endpointDescription": "charting sysytem",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4800 Memorial dr",
"city": "waco",
"state": "TX",
"country_code": "US",
"postal_code": "76711",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cprs",
"affiliation": "N",
"endpointDescription": "charting sysytem",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4800 Memorial dr",
"city": "waco",
"state": "TX",
"country_code": "US",
"postal_code": "76711",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cprs",
"affiliation": "N",
"endpointDescription": "charting sysytem",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4800 Memorial dr",
"city": "waco",
"state": "TX",
"country_code": "US",
"postal_code": "76711",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cprs",
"affiliation": "N",
"endpointDescription": "charting sysytem",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4800 Memorial dr",
"city": "waco",
"state": "TX",
"country_code": "US",
"postal_code": "76711",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.