Christine Ann Simon

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

18301-31 Issued in WI

Practice address

N4391 W County Road a
Plymouth, WI 53073-4427

Phone

(920) 980-5224

NPI assigned

Oct 9, 2014

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

Other names 1

• Mrs. Christine Ann Simon Professional name

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": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1659775310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4391 W COUNTY ROAD A",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530734427",
            "telephone_number": "920-980-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N4391 W COUNTY ROAD A",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530734427",
            "telephone_number": "920-980-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "18301-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "SIMON",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sheri A Severson, LPC NCC
• Mark William Sharon, MD
• Holly Shaw
• Nancy A Shirk
• Francesca Vittoria Shores, DPT
• David R Smith, MD, MPH
• Rebecca Jean Smith, P.T.
• St Nicholas Hospital-Sisters of Third Order of St Francis
• Renee A Staehling, MD
• Madison Stanczak

• Licensed Practical Nurse in Plymouth, WI
• Providers in Plymouth, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.