Individual provider Active NPI

Olivia Dela Ama Simpri, FNP

  • Family Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1639838196
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209024521 Issued in IL
Practice address
2904 Grand Prairie Dr
Joliet, IL 60431-9213
Phone
(815) 514-1814
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 209024521 IL
Family Nurse Practitioner 363LF0000X 209024521 IL Primary

Addresses

Primary practice location

2904 Grand Prairie Dr
Joliet, IL 60431-9213

Mailing address

2904 Grand Prairie Dr
Joliet, IL 60431-9213
Phone (815) 514-1814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20240724003388 IL Practitioner - Nurse Practitioner 1850837980 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Jul 1, 2024 Accepting new patients
Vpa PC CurrentSince Jul 1, 2024 Accepting new patients
Harmonycares Complete Health Services, PLLC CurrentSince Dec 1, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1639838196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 GRAND PRAIRIE DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319213",
            "telephone_number": "815-514-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 GRAND PRAIRIE DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319213",
            "telephone_number": "815-514-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPRI",
        "first_name": "OLIVIA",
        "middle_name": "DELA AMA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "209024521",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209024521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.