Edwin Simon, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN6734 Issued in TN

Practice address

2004 Hwy 47 N
White Bluff, TN 37187-4100

Phone

(615) 797-3646

Fax

(615) 797-4055

NPI assigned

Jul 3, 2006

Last updated

Jan 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• White Bluff Family Health Care Center Inc

  • Family Medicine Physician
  • White Bluff, TN
  • NPI 1407952799
  Authorized official Same address or phone
• State of Tennessee

  dba Robertson County Health Department

  • Public Health or Welfare Agency
  • Springfield, TN
  • NPI 1316090145
  NPD
• State of Tennessee

  dba Marion County Health Department

  • Public Health or Welfare Agency
  • Jasper, TN
  • NPI 1487791315
  NPD
• State of Tennessee State F&a Payroll

  • Psychiatric Hospital
  • Nashville, TN
  • NPI 1194869297
  NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1609806256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HWY 47 N",
            "city": "WHITE BLUFF",
            "state": "TN",
            "postal_code": "371874100",
            "telephone_number": "615-797-3646",
            "fax_number": "615-797-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HWY 47 N",
            "city": "WHITE BLUFF",
            "state": "TN",
            "postal_code": "371874100",
            "telephone_number": "615-797-3646",
            "fax_number": "615-797-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN6734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3908147",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Pickard Primm, DDS
• Anna L. Rackley, RN
• Erica Rahman, RN
• Rachel Nicole Sadler, FNP-C
• Sarah Frances Shannon, LMFT
• Cassie T Smith, CRNA
• Megan Snider, F.N.P.
• Vivian Riddell Snyder, BCBA
• State of Tennessee (Dickson County-White Bluff Clinic)
• Amy Doyle Sullivan, FNP

• Family Nurse Practitioner in White Bluff, TN
• Providers in White Bluff, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.