Active NPI
Jennifer Lynn Simpson, FNP
- Family Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1457628075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5005437
- Practice address
- 2431 Spring Forest Rd
Suite 111
Raleigh, NC 27615-7549 - Phone
- (919) 850-1300
- Fax
- (919) 850-0012
- NPI assigned
- Nov 28, 2011
- Last updated
- Nov 28, 2011
- 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 | 5005437 | NC | Primary |
Addresses
Primary practice location
2431 Spring Forest Rd
Suite 111
Raleigh, NC 27615-7549
Mailing address
2431 Spring Forest Rd
Suite 111
Raleigh, NC 27615-7549
Phone (919) 850-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5005437 | Other | NC | LICENSE NUMBER |
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 |
|---|---|---|---|
| 5005437 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med One | Past | Accepting new patients | |
| Med One Medical Group | Family | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Raleigh, NC
- NPI 1093146177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1457628075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2431 SPRING FOREST RD",
"address_2": "SUITE 111",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276157549",
"telephone_number": "919-850-1300",
"fax_number": "919-850-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 SPRING FOREST RD",
"address_2": "SUITE 111",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276157549",
"telephone_number": "919-850-1300",
"fax_number": "919-850-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-28",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5005437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "5005437",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.