Active NPI
Simply Primary Care
- Family Nurse Practitioner
- Middletown, NY
National Provider Identifier
1376287243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- SIMPLY PRIMARY CARE
- Practice address
- 37 Ruth CT
Middletown, NY 10940-5329 - Phone
- (845) 407-7942
- NPI assigned
- Apr 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shante Brady, FNP
- Title
- FNP
- Phone
- (845) 407-7942
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Family Health Clinical Nurse Specialist | 364SF0001X |
Addresses
Primary practice location
37 Ruth CT
Middletown, NY 10940-5329
Mailing address
37 Ruth CT
Middletown, NY 10940-5329
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Wawarsing, NY
- NPI 1669072344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651104000000",
"number": "1376287243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 RUTH CT",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109405329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 RUTH CT",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109405329",
"telephone_number": "845-407-7942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLY PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-26",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A",
"authorized_official_last_name": "BRADY",
"authorized_official_first_name": "SHANTE",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "845-407-7942",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "364SF0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Family Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.