Individual provider Active NPI

Marion Johanna Simpson, APRN

  • Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1487009080
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3010755 Issued in KY
Practice address
166 Pasadena Dr Ste 150
Lexington, KY 40503-2938
Phone
(859) 276-1452
Fax
(859) 277-1237
NPI assigned
May 2, 2016
Last updated
Nov 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3010755 KY Primary
Family Nurse Practitioner 363LF0000X 3010755 KY

Addresses

Primary practice location

166 Pasadena Dr Ste 150
Lexington, KY 40503-2938

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other names 1

  • Marion Johanna Reid Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20161102002815 KY Practitioner - Nurse Practitioner 7214215722 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3010755KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC Nurse Practitioner CurrentSince Nov 27, 2018 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Dec 4, 2020 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Nov 27, 2018 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 3, 2023 Accepting new patients
Inpatientcare PLLC Nurse Practitioner CurrentSince Aug 1, 2024 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Dec 4, 2020 Accepting new patients
Lexington Vein & Aesthetic Center, PLLC Past Accepting new patients

Locations

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

1591 Hustonville Rd
Danville, KY 40422
Phone (270) 861-1110

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

3116 Harrodsburg Rd
Lexington, KY 40503
Phone (859) 268-0082

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

150 N Highway 27
Somerset, KY 42503
Phone (606) 485-1021

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: marion.simpson.1@22146.direct.athenahealth.com

Organizations & group practices 7

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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1487009080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 PASADENA DR STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032938",
            "telephone_number": "859-276-1452",
            "fax_number": "859-277-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "MARION",
        "middle_name": "JOHANNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3010755",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARION",
            "last_name": "REID",
            "middle_name": "JOHANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.