Deidre Simms, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

197516 Issued in WI

Practice address

11517 W Center St
Wauwatosa, WI 53222-4121

Phone

(414) 943-0282

NPI assigned

Aug 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

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.

• Gold Standard Home Healthcare

  • Home Health Agency
  • Wauwatosa, WI
  • NPI 1437896628
  NPD Authorized official

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1447863659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11517 W CENTER ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224121",
            "telephone_number": "414-943-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11517 W CENTER ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224121",
            "telephone_number": "414-943-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "DEIDRE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "197516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Milwaukee",
            "affiliation": "N",
            "address_1": "11517 W Center St",
            "city": "Wauwatosa",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532224121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brooke S Siddell
• Danish S Siddiqui, MD
• Mark Siegel, MD
• Mindas Siliunas, M.D.
• Silver Heart Community Services LLC
• Julia Simon
• Nicole M Simonetti, DDS
• Crystal D. Simpson
• Sara Ann Simpson, APNP
• Keri Sims, PHARM.D.

• Registered Nurse in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.