Individual provider Active NPI

Eunice E Simmons, LIC. AC. RN, BSN

  • Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
  • Brockton, MA
National Provider Identifier
1366670085
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geropsychiatric Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0813X
License
2258485 Issued in MA
Practice address
34 N Pearl St
Brockton, MA 02301-1708
Phone
(508) 508-9200
NPI assigned
Jul 1, 2009
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist 364SP0813X 2258485 MA Primary
Acupuncturist 171100000X 212677 MA

Addresses

Primary practice location

34 N Pearl St
Brockton, MA 02301-1708

Mailing address

960 Massachusetts Ave Ste 2
Boston, MA 02118-2690

Other practice location 1

992 Bedford St
Bridgewater, MA 02324-3050
Phone (917) 667-7725

Other practice location 2

1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone (508) 408-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20200109002279 MA Practitioner - Nurse Practitioner 4082049572 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
212677MAMDAcupuncturist
2258485MAMDGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Psychiatry Associates, Inc. CurrentSince Jan 14, 2025 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients

Locations

85 East Newton St
Ste 905
Boston, MA 02118
Phone (617) 414-5245

960 Massachusetts Ave
Ste 2
Boston, MA 02118

34 N Pearl St
Brockton, MA 02301
Phone (508) 408-9200

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

Interoperability endpoints

  • Direct secure messaging: esimmons250952@direct.bmc.masshiway.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1366670085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011708",
            "telephone_number": "508-508-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "992 Bedford St",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "MA",
            "postal_code": "023243050",
            "country_code": "US",
            "telephone_number": "917-667-7725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Boston Medical Ctr Pl",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182908",
            "country_code": "US",
            "telephone_number": "508-408-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "EUNICE",
        "middle_name": "E",
        "credential": "LIC. AC. RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0813X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "MA",
            "license": "2258485",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "212677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.