Individual provider Active NPI

Linda A Simmons, CRNP

  • Family Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1497087902
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0001158 Issued in DE
Practice address
501 W 14TH St FL 4
Wilmington, DE 19801-1013
Phone
(302) 661-3070
Fax
(302) 661-3080
NPI assigned
Feb 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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 SP010672 PA
Family Nurse Practitioner 363LF0000X LG-0001158 DE Primary

Addresses

Primary practice location

501 W 14TH St FL 4
Wilmington, DE 19801-1013

Mailing address

501 W 14TH St FL 4
Wilmington, DE 19801-1013
Phone (302) 661-3070

Other names 1

  • Linda McCullion Simmons Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120124000331 PA Practitioner - Nurse Practitioner 4284801721 Reassigns benefits to 2 organizations
I20180726002593 DE Practitioner - Nurse Practitioner 4284801721 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0001158DEMDFamily Nurse Practitioner
SP010672PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Nurse Practitioner Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 15, 2018 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 1, 2018 Accepting new patients
Christiana Care Health Services Inc Nurse Practitioner CurrentSince Jan 22, 2020 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 1, 2018 Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Christiana Care Pennsylvania Inc Past Accepting new patients
Joel S. Goldberg PastSince Dec 26, 2016 Accepting new patients

Locations

501 W 14th St
Fl 4
Wilmington, DE 19801
Phone (302) 623-3475

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

3506 Kennett Pike
Wilmington, DE 19807
Phone (302) 661-3000

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060

161 Wilmington W Chester Pike
Ste 1500
Chadds Ford, PA 19317

Organizations & group practices 9

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": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1497087902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST FL 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-661-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST FL 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-661-3070",
            "fax_number": "302-661-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "LINDA",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010672",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0001158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "SIMMONS",
            "middle_name": "MCCULLION",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.