Individual provider Active NPI

Lynette M Simpson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tariffville, CT
National Provider Identifier
1508070665
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
000915 Issued in CT
Practice address
2 Tunxis Rd
Suite 110
Tariffville, CT 06081-9686
Phone
(860) 712-7285
Fax
(860) 408-9350
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
Yes

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

State licenses

LicenseStateTypeSpecialty
915CTMDAddiction (Substance Use Disorder) Counselor
000915CTMDProfessional Counselor

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 915 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 000915 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

2 Tunxis Rd
Suite 110
Tariffville, CT 06081-9686

Mailing address

2 Tunxis Rd
Suite 110
Tariffville, CT 06081-9686
Phone (860) 712-7285

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 1, 2012.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1508070665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TUNXIS RD",
            "address_2": "SUITE 110",
            "city": "TARIFFVILLE",
            "state": "CT",
            "postal_code": "060819686",
            "telephone_number": "860-712-7285",
            "fax_number": "860-408-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TUNXIS RD",
            "address_2": "SUITE 110",
            "city": "TARIFFVILLE",
            "state": "CT",
            "postal_code": "060819686",
            "telephone_number": "860-712-7285",
            "fax_number": "860-408-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "LYNETTE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CT",
            "license": "915",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "000915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tariffville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.