Kecia Renee Simmons, GNP

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

38894 Issued in NC

Practice address

2203 Neuse Boulevard
Coastal Surgical Specialists, PA
New Bern, NC 28560-4311

Phone

(252) 638-8118

Fax

(252) 638-5192

NPI assigned

Aug 28, 2008

Last updated

Aug 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kecia.simmons.1@31257.direct.athenahealth.com

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.

• Coastal Surgical Specialists P a

  • Specialist
  • New Bern, NC
  • NPI 1659337046
  Medicare reassignment NPD

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1497903884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 NEUSE BOULEVARD",
            "address_2": "COASTAL SURGICAL SPECIALISTS, PA",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604311",
            "telephone_number": "252-638-8118",
            "fax_number": "252-638-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 NEUSE BOULEVARD",
            "address_2": "COASTAL SURGICAL SPECIALISTS, PA",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604311",
            "telephone_number": "252-638-8118",
            "fax_number": "252-638-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "KECIA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NC",
            "license": "38894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imaan Siddiqi
• Stephen N Sides II, MD
• Glenn Austin Sikes Jr., PA
• Natasha Simeonoff, RBT
• Chrystal Lakesha Simmons, LCSW
• Craig Phillip Simon, PA-C
• Zachary Simonette
• Simpleuro LLC
• Renee Phillips Simpson, RPH
• Teresa Y Simpson, RN

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New Bern, NC
• Providers in New Bern, NC by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.