Individual provider Active NPI

Donna Soppelsa Simmons, APRN BC NP

  • Adult Health Nurse Practitioner
  • Peak, SC
National Provider Identifier
1366423998
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A26595 Issued in SC
Practice address
32 River St
Peak, SC 29122-0099
Phone
(803) 947-7475
Fax
(803) 345-2832
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X A26595 SC Primary

Addresses

Primary practice location

32 River St
Peak, SC 29122-0099

Mailing address

32 River St
PO Box 99
Peak, SC 29122-0099
Phone (803) 947-7475

Other identifiers 1

IdentifierTypeStateIssuer
NP0346MedicaidSC

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26595SCMDNurse Practitioner
A26595SCMDAdult Health Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8601/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366423998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 RIVER ST",
            "address_2": "PO BOX 99",
            "city": "PEAK",
            "state": "SC",
            "postal_code": "291220099",
            "telephone_number": "803-947-7475",
            "fax_number": "803-345-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 RIVER ST",
            "city": "PEAK",
            "state": "SC",
            "postal_code": "291220099",
            "telephone_number": "803-947-7475",
            "fax_number": "803-345-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "DONNA",
        "middle_name": "SOPPELSA",
        "credential": "APRN BC NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "A26595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0346",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peak, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.