Cory Shannon Simpson, REGISTERED NURSE/ RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN158505 Issued in AZ

Practice address

1115 Rim View Dr
Show Low, AZ 85901-8270

Phone

(928) 706-3556

NPI assigned

Jan 16, 2023

Sex

Male

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1447965330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 RIM VIEW DR",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859018270",
            "telephone_number": "928-706-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 RIM VIEW DR",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859018270",
            "telephone_number": "928-706-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "CORY",
        "middle_name": "SHANNON",
        "credential": "REGISTERED NURSE/ RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN158505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cory.simpson@fdihb.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "All",
            "address_1": "1115 Rim View Dr",
            "city": "Show Low",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "859018270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Show Low Unified School District #10
• Kimberly Shreeve
• Unknown Siena, O.D.
• Gina Silveira, NP
• Sonya Simmons, FNP
• Sarah Simpson, LCSW
• Brandi Su Small, PHARMD
• Ashley Marie Smith, FNP-C
• Laurel Smith, NP
• Shane McBride Smith, PA-C

• Registered Nurse in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.