Mary Kristine Simonson, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

025209 MD00021289 Issued in WA

Practice address

4041 Ruston Way
#202
Tacoma, WA 98402-5378

Phone

(253) 759-0288

Fax

(253) 761-3288

NPI assigned

Aug 1, 2005

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 WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Sanford School of Medicine of University of South Dakota, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mary K. Simonson, MD PLLC

  • Medical Specialty Clinic/Center
  • Tacoma, WA
  • NPI 1295334555
  Medicare reassignment NPD Authorized official
• Greg Sidell MD PLLC

  • Psychiatry Physician
  • Tacoma, WA
  • NPI 1659047298
  NPD (past)

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1316948359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 RUSTON WAY",
            "address_2": "#202",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025378",
            "telephone_number": "253-759-0288",
            "fax_number": "253-761-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 RUSTON WAY",
            "address_2": "#202",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025378",
            "telephone_number": "253-759-0288",
            "fax_number": "253-761-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSON",
        "first_name": "MARY",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-01",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "025209 MD00021289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Edward Simons
• Jaimey Kristin Simons
• Patricia A Simons, L.M.F.T.
• Tina Michelle Simons, LMP
• Hayden Scott Simonson, PA-C
• William Thomas Simonson, MD PHD
• Simply Human Psychiatry PLLC
• Brian Lloyd Simpson, DDS
• Debra Marie Simpson, N.P.
• Duncan Charles Simpson, LISW, LICDC

• Psychiatry Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.