Shavonne Simonich, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0994279 Issued in CO

Practice address

3810 Grant Ave
Loveland, CO 80538-8412

Phone

(970) 221-9451

NPI assigned

Nov 11, 2018

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 CO

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

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Harmony Medical Group, LLC

  • Family Medicine Physician
  • Fort Collins, CO
  • NPI 1902517626
  Medicare reassignment NPD
• Nococai, LLC

  • Multi-Specialty Clinic/Center
  • Fort Collins, CO
  • NPI 1265129134
  NPD

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

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541894400000",
    "number": "1508334277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BROOKWOOD DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251211",
            "telephone_number": "970-219-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 GRANT AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388412",
            "telephone_number": "970-221-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONICH",
        "first_name": "SHAVONNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-11",
        "last_updated": "2018-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0994279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather M Simmelink, OTR/L
• Charles Lee Simmons Jr., LPC, NCC, CACII
• Gina Marie Simmons, LPC,CAC III, MA
• Christine Szeibert Simon
• Kris Dexter Simon, MD
• Emily Simons, MD
• Simply Vax, PLLC
• John Sinclair
• Laurie Singer, CTRS
• Navjot Singh

• Family Nurse Practitioner in Loveland, CO
• Providers in Loveland, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2018; 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.