Individual provider Active NPI

Isabelle Laure Simeni, AGACNP

  • Acute Care Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1457939712
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1034163 Issued in TX
Practice address
1416 Ravenwood Dr
Mansfield, TX 76063-6054
Phone
(832) 970-2545
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Acute Care Nurse Practitioner 363LA2100X 1034163 TX Primary

Addresses

Primary practice location

1416 Ravenwood Dr
Mansfield, TX 76063-6054

Mailing address

1416 Ravenwood Dr
Mansfield, TX 76063-6054
Phone (832) 970-2545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1034163TXMDAcute Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ms_isimeni@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1457939712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 RAVENWOOD DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636054",
            "telephone_number": "832-970-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 RAVENWOOD DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636054",
            "telephone_number": "832-970-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMENI",
        "first_name": "ISABELLE LAURE",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1034163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.