Susan Diane Simmons, ARNP, PHD

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

44763 Issued in KS

Practice address

15435 W 134TH PL
Olathe, KS 66062-6135

Phone

(913) 780-0030

NPI assigned

Jun 24, 2005

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

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.

• College Park Family Care Center PA

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1740248772
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1386640340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10452 CONSER ST",
            "address_2": "APT 1L",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122627",
            "telephone_number": "913-302-2530",
            "fax_number": "913-782-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15435 W 134TH PL",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660626135",
            "telephone_number": "913-780-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "ARNP, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "44763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Signature Medical Group of KC, PA
• Adetunji Alabi Sijuwade, DDS
• Michael Silva
• Carol A Silvernail
• Nichole C Simmons, PLPC
• Deborah D. Simon, LCPC
• Yvette Simpson
• Sincere Speech Therapy, LLC
• Diane Denise Sinclair-Smith, LCMFT
• Adheesh Sindhwani, MBBS

• Family Nurse Practitioner in Olathe, KS
• Providers in Olathe, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.