Individual provider Active NPI

Kristan Noelle Simpson, NP

  • Family Nurse Practitioner
  • Chula Vista, CA
National Provider Identifier
1396407599
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020128904 Issued in CA
Practice address
1295 Broadway Ste 201
Chula Vista, CA 91911-2975
Phone
(888) 743-7526
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020128904 CA Primary

Addresses

Primary practice location

1295 Broadway Ste 201
Chula Vista, CA 91911-2975

Mailing address

6469 Lake Apopka PL
San Diego, CA 92119-2814
Phone (415) 652-4131

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksimpson@planned.org

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
2020128904CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1396407599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6469 LAKE APOPKA PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192814",
            "telephone_number": "415-652-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 BROADWAY STE 201",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112975",
            "telephone_number": "888-743-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "KRISTAN",
        "middle_name": "NOELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "2020128904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksimpson@planned.org",
            "affiliation": "N",
            "address_1": "1295 Broadway Ste 201",
            "city": "Chula Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919112975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.