Individual provider Active NPI

Jennifer G Sims, NP, CNS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Indianapolis, IN
National Provider Identifier
1558308841
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
70000007A Issued in IN
Practice address
1481 W 10TH St # C-5085
Richard L Roudebush VA Medical Center
Indianapolis, IN 46202-2803
Phone
(317) 988-2757
Fax
(317) 988-4246
NPI assigned
Jun 2, 2006
Last updated
Jan 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 70000007A IN Primary

Addresses

Primary practice location

1481 W 10TH St # C-5085
Richard L Roudebush VA Medical Center
Indianapolis, IN 46202-2803

Mailing address

8053 Upland CT
Indianapolis, IN 46278-9585
Phone (317) 290-8194

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
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
70000007AINMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Hospital & Health Care Center, Inc. Past Accepting new patients
Kemet Health One LLC Past Accepting new patients
Kemet Health One LLC Past Accepting new patients
Kemet Health One LLC Past Accepting new patients
Kemet Health One LLC Past Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. PastSince Mar 1, 2010 Accepting new patients
Cummins Behavioral Health Systems, Incorporated Past Accepting new patients
Mending Minds, LLC Past Accepting new patients
Kemet Health One LLC Past Accepting new patients
Kemet Health One LLC Past Accepting new patients
Kemet Health One LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.sims.1@24167.direct.athenahealth.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1558308841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8053 UPLAND CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462789585",
            "telephone_number": "317-290-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 W 10TH ST # C-5085",
            "address_2": "RICHARD L ROUDEBUSH VA MEDICAL CENTER",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022803",
            "telephone_number": "317-988-2757",
            "fax_number": "317-988-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "JENNIFER",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "NP, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "IN",
            "license": "70000007A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.