Individual provider Active NPI

Katiana Leslie Carey-Simms, CNM, WHNP

  • Advanced Practice Midwife
  • Davis, CA
National Provider Identifier
1659156248
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236392 Issued in CA
Practice address
2051 John Jones Rd
Davis, CA 95616-9701
Phone
(530) 204-5317
NPI assigned
Aug 30, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95026214 CA
Advanced Practice Midwife 367A00000X 236392 CA Primary

Addresses

Primary practice location

2051 John Jones Rd
Davis, CA 95616-9701

Mailing address

214 Kentucky St # a
Vallejo, CA 94590-5038
Phone (510) 847-5836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109004163 CA Practitioner - Certified Nurse Midwife (CNM) 0345691853 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
95026214CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince May 31, 2024 Accepting new patients
Ole Health CurrentSince Nov 18, 2023 Accepting new patients
Alameda Health System CurrentSince May 31, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 25, 2024 Accepting new patients
Ole Health CurrentSince Nov 18, 2023 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 25, 2024 Accepting new patients
Alameda Health System Current Accepting new patients
Ole Health Past Accepting new patients

Locations

2020 Sutter Pl
Ste 203
Davis, CA 95616
Phone (530) 750-5880

2051 John Jones Rd
Davis, CA 95616
Phone (530) 753-3498

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778

6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

500 Jefferson Blvd
Ste 180
West Sacramento, CA 95605
Phone (916) 403-2900

215 W Beamer St
Woodland, CA 95695
Phone (530) 405-2800

Interoperability endpoints

  • Direct secure messaging: kcareysimms671944@hisp.ehr.sutterhealth.org
  • Direct secure messaging: kcareysimms675531@direct.ochin.org

Organizations & group practices 8

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": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1659156248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 KENTUCKY ST # A",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905038",
            "telephone_number": "510-847-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 JOHN JONES RD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956169701",
            "telephone_number": "530-204-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY-SIMMS",
        "first_name": "KATIANA",
        "middle_name": "LESLIE",
        "credential": "CNM, WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95026214",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.