Anna Narie Simica-Fazendin, RN,MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F2014185 Issued in GA

Practice address

347 Middle Rd N Unit H
Leesburg, GA 31763-3766

Phone

(229) 272-8648

NPI assigned

Feb 18, 2014

Last updated

Feb 18, 2014By 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

Other names 1

• Mrs. Anna Marie Simica Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1689098287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "31763",
            "telephone_number": "229-272-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MIDDLE RD N UNIT H",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317633766",
            "telephone_number": "229-272-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMICA-FAZENDIN",
        "first_name": "ANNA",
        "middle_name": "NARIE",
        "name_prefix": "Mrs.",
        "credential": "RN,MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F2014185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "SIMICA",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "RN APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shaun N. Price DC, LLC (Leesburg Chiropractic)
• Cher Renee Shell
• Juliette Edwina Shield
• Autumn Rachel Shirley, RBT
• Heather Shivers
• Skyler Brooke Simons, DMD
• Derrick Smith
• Kristie Jo Smith, MSN, RN, FNP
• Patrick L Smith, LPC
• Sarah Smith

• Family Nurse Practitioner in Leesburg, GA
• Providers in Leesburg, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.