Individual provider Active NPI

Kristin Marie Simone, ARNP

  • Family Nurse Practitioner
  • Gig Harbor, WA
National Provider Identifier
1649620915
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60670318 Issued in WA
Practice address
9601 Bujacich Rd NW
Gig Harbor, WA 98332-8300
Phone
(253) 858-4200
NPI assigned
Jun 17, 2016
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60670318 WA Primary

Addresses

Primary practice location

9601 Bujacich Rd NW
Gig Harbor, WA 98332-8300

Mailing address

9601 Bujacich Rd NW
Gig Harbor, WA 98332-8300
Phone (253) 858-4200

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60670318WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington State Department of Corrections Washington Corrections Ce CurrentSince Sep 29, 2024 Accepting new patients
Peninsula Community Health Services Past Accepting new patients

Locations

9601 Bujacich Rd NW
Gig Harbor, WA 98332
Phone (253) 858-4200

Organizations & group practices 2

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": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1649620915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BUJACICH RD NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328300",
            "telephone_number": "253-858-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BUJACICH RD NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328300",
            "telephone_number": "253-858-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60670318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.