Active NPI
Lori Simmons
- Family Nurse Practitioner
- Grants Pass, OR
National Provider Identifier
1417331604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201504134NP-PP
- Practice address
- 1601 NE 6TH St
Grants Pass, OR 97526-1035 - Phone
- (541) 472-0021
- NPI assigned
- Jul 17, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201504134NP-PP | OR | Primary |
Addresses
Primary practice location
1601 NE 6TH St
Grants Pass, OR 97526-1035
Mailing address
1601 NE 6TH St
Grants Pass, OR 97526-1035
Phone (541) 472-0021
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
| License | State | Type | Specialty |
|---|---|---|---|
| 201504134NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa Michelle Callahan | Past | Accepting new patients |
Interoperability endpoints
- lsimmons@grants.pcc-direct.com
Organizations & group practices 1
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.
-
dba Lisa Callahan CPNP
- Rural Health Clinic/Center
- Grants Pass, OR
- NPI 1285947622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1417331604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 NE 6TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261035",
"telephone_number": "541-472-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 NE 6TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261035",
"telephone_number": "541-472-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "LORI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-17",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201504134NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.