Individual provider Active NPI

Margaux Rose Simon, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1487095931
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5006298 Issued in NC
Practice address
5720 Fayetteville Rd Ste 203
Durham, NC 27713-5333
Phone
(919) 551-5800
Fax
(919) 336-4725
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 172791 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5006298 NC Primary

Addresses

Primary practice location

5720 Fayetteville Rd Ste 203
Durham, NC 27713-5333

Mailing address

5720 Fayetteville Rd Ste 203
Durham, NC 27713-5333
Phone (919) 551-5800

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
172791NCMDFamily Nurse Practitioner
5006298NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fields Family Psychiatry Family CurrentSince Dec 29, 2024 Accepting new patients
Private Diagnostic Clinic, PLLC Past Accepting new patients

Locations

5720 Fayetteville Rd
Ste 203
Durham, NC 27713
Phone (919) 551-5800

Interoperability endpoints

  • Direct secure messaging: margaux.simon@217526021193732.direct.elationemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1487095931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 FAYETTEVILLE RD STE 203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135333",
            "telephone_number": "919-551-5800",
            "fax_number": "919-336-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 FAYETTEVILLE RD STE 203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135333",
            "telephone_number": "919-551-5800",
            "fax_number": "919-336-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MARGAUX",
        "middle_name": "ROSE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "172791",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5006298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.