Samantha Leah Simon, MA-C

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

911180810 Issued in WA

Practice address

401 S 25TH St
Mount Vernon, WA 98274-4772

Phone

(360) 399-3611

NPI assigned

Dec 31, 2018

Last updated

Dec 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1649742602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 25TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744772",
            "telephone_number": "360-399-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S 25TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744772",
            "telephone_number": "360-399-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "SAMANTHA",
        "middle_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "MA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "911180810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sight Partners Physicians, P.C.
• Teresa Joy Signer
• Brittany Silva, LSWAIC
• William Andre Silva, M.D.
• Lisa A Simmons, LMP
• Janet Hargis Simpson, MED.
• Annette M Sisson, OTR/L
• Dennis Hartley Skaggs, MA, MS, LMCHA, MHP
• Skagit Behavioral Health
• Skagit Chiropractic PS (Auto Accident Chiropractic)

• Clinic/Center in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.