Individual provider Active NPI

Colette Lucia Wood Sime, RN

  • Registered Nurse
  • Brooklyn Center, MN
National Provider Identifier
1619888443
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2533271 Issued in MN
Practice address
4201 Bass Lake Rd
Brooklyn Center, MN 55429-2909
Phone
(952) 426-4711
Fax
(651) 444-0998
NPI assigned
Sep 12, 2026
Last updated
Sep 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2533271 MN Primary

Addresses

Primary practice location

4201 Bass Lake Rd
Brooklyn Center, MN 55429-2909

Mailing address

432 Ridgewood Ave Apt 6
Minneapolis, MN 55403-3525

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2533271MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Cove Past Accepting new patients

Organizations & group practices 1

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": "1789171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1619888443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 RIDGEWOOD AVE APT 6",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BASS LAKE RD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292909",
            "telephone_number": "952-426-4711",
            "fax_number": "651-444-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD SIME",
        "first_name": "COLETTE",
        "middle_name": "LUCIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-12",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2533271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; 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.