Active NPI
Tina Marie Simpson, NURSE PRACTITIONER
- Pediatric Nurse Practitioner
- Metarie, LA
National Provider Identifier
1407884786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APO4688
- Practice address
- 8101 Simon St.
Metarie, LA 70003 - Phone
- (504) 737-5523
- Fax
- (504) 737-2649
- NPI assigned
- Jun 28, 2006
- Last updated
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APO4688 | LA | Primary |
Addresses
Primary practice location
8101 Simon St.
Metarie, LA 70003
Mailing address
240 Riverdale Drive
Jefferson, LA 70121
Phone (504) 834-5026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1721603 | Medicaid | LA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APO4688 | LA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1407884786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 RIVERDALE DRIVE",
"city": "JEFFERSON",
"state": "LA",
"postal_code": "70121",
"telephone_number": "504-834-5026",
"fax_number": "504-834-3854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 SIMON ST.",
"city": "METARIE",
"state": "LA",
"postal_code": "70003",
"telephone_number": "504-737-5523",
"fax_number": "504-737-2649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "TINA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "APO4688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1721603",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Metarie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.