Caroline Heyward Simons, R.N.

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

87618 Issued in SC

Practice address

8450 Gate Pkwy W Unit 1007
Jacksonville, FL 32216-1077

Phone

(843) 714-0241

NPI assigned

Apr 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1659766830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 BAYTREE CT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643534",
            "telephone_number": "843-714-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 GATE PKWY W UNIT 1007",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161077",
            "telephone_number": "843-714-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "CAROLINE",
        "middle_name": "HEYWARD",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "SC",
            "license": "87618",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "WY",
            "license": "6759",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NV",
            "license": "RN80335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Simonelli
• Maria Simonetti Reis, RBT
• Sara Simonich, PT
• Simonmed Imaging Florida LLC
• Angela Marie Simons
• Demitria Simons, R.T. (R)
• John Lawrence Simons Jr., D.O.
• Dennis Allen Simonson, CRNA
• Sandra Kay Simonson, CRNA
• Caitlin C Simonton, OTD, OTR/L

• Ambulatory Care Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Ambulatory Care Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.