Individual provider Active NPI

Brittany Nichols Simpson, APRN

  • Pediatric Nurse Practitioner
  • Tavares, FL
National Provider Identifier
1376174722
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
11018867 Issued in FL
Practice address
1765 David Walker Dr
Tavares, FL 32778-5745
Phone
(352) 343-3330
Fax
(352) 742-0354
NPI assigned
Feb 3, 2020
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 11018867 FL Primary
Registered Nurse 163W00000X 9398217 FL
Registered Nurse 163W00000X 194569 TN

Addresses

Primary practice location

1765 David Walker Dr
Tavares, FL 32778-5745

Mailing address

4181 Waltham Forest Dr
Tavares, FL 32778-5724
Phone (615) 339-3906

Other practice location 1

83 W Miller St
Orlando, FL 32806-2009
Phone (321) 843-9792

Other practice location 2

33017 Professional Dr
Leesburg, FL 34788-3750
Phone (352) 314-2275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240525000254 FL Practitioner - Nurse Practitioner 3971945635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9398217FLMDRegistered Nurse
194569TNMDRegistered Nurse
11018867FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jul 1, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 1, 2024 Accepting new patients
Silver Lake Pediatrics, PA PastSince Apr 1, 2022 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1765 David Walker Dr
Tavares, FL 32778
Phone (352) 343-3330

Interoperability endpoints

  • Direct secure messaging: bsimpson2797316@adventhealth.direct-ci.com

Organizations & group practices 3

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": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1376174722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 WALTHAM FOREST DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785724",
            "telephone_number": "615-339-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 DAVID WALKER DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785745",
            "telephone_number": "352-343-3330",
            "fax_number": "352-742-0354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 W Miller St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062009",
            "country_code": "US",
            "telephone_number": "321-843-9792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33017 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347883750",
            "country_code": "US",
            "telephone_number": "352-314-2275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "BRITTANY",
        "middle_name": "NICHOLS",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11018867",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9398217",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "194569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.