Individual provider Active NPI

Liette Marie Margerite Simkin, RN

  • General Practice Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1487241105
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
526150 Issued in CA
Practice address
2443 Castle Heights Ave
Los Angeles, CA 90034-1051
Phone
(310) 892-1221
NPI assigned
Dec 29, 2020
Reactivated
May 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 526150 CA Primary

Addresses

Primary practice location

2443 Castle Heights Ave
Los Angeles, CA 90034-1051

Mailing address

2443 Castle Heights Ave
Los Angeles, CA 90034-1051
Phone (310) 892-2344

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
526150CAMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1487241105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 CASTLE HEIGHTS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900341051",
            "telephone_number": "310-892-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 CASTLE HEIGHTS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900341051",
            "telephone_number": "310-892-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMKIN",
        "first_name": "LIETTE",
        "middle_name": "MARIE MARGERITE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "deactivation_date": "2021-01-23",
        "reactivation_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "526150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.