Individual provider Active NPI

Cheryl Holland Simpson

  • Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1447867148
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5013976 Issued in NC
Practice address
3186 Village Dr Ste 201
Fayetteville, NC 28304-3979
Phone
(910) 486-5700
Fax
(910) 486-5950
NPI assigned
Sep 26, 2020
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5013976 NC Primary
Family Nurse Practitioner 363LF0000X 5013976 NC
Registered Nurse 163W00000X 232925 NC

Addresses

Primary practice location

3186 Village Dr Ste 201
Fayetteville, NC 28304-3979

Mailing address

11522 NC Highway 210 S
Roseboro, NC 28382-8858
Phone (910) 229-8757

Other practice location 1

408 Fairview St
Clinton, NC 28328-2312
Phone (910) 596-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210311001695 NC Practitioner - Nurse Practitioner 9234545542 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
232925NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated CurrentSince Feb 4, 2021 Accepting new patients
Valley Radiology P a CurrentSince Jul 5, 2022 Accepting new patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Feb 4, 2021 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients

Locations

408 Fairview St
Clinton, NC 28328
Phone (910) 596-2400

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

3186 Village Dr
Ste 201
Fayetteville, NC 28304
Phone 9104865700104

Interoperability endpoints

  • Direct secure messaging: csimpson@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: csimpson102180@capefearvalley.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1447867148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11522 NC HIGHWAY 210 S",
            "city": "ROSEBORO",
            "state": "NC",
            "postal_code": "283828858",
            "telephone_number": "910-229-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 VILLAGE DR STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043979",
            "telephone_number": "910-486-5700",
            "fax_number": "910-486-5950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Fairview St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283282312",
            "country_code": "US",
            "telephone_number": "910-596-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "CHERYL",
        "middle_name": "HOLLAND",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2022-08-02",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013976",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013976",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "232925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.