Active NPI
Quickcarenp
- Family Nurse Practitioner
- Portsmouth, VA
National Provider Identifier
1689177503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024175436
- Legal business name
- QUICKCARENP
- Practice address
- 719 High St
Portsmouth, VA 23704-3425 - Phone
- (757) 330-0222
- NPI assigned
- Mar 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Autum Fabre Simmons, FNP
- Title
- Owner/Nurse Practitioner
- Phone
- (757) 330-0222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024175436 | VA | Primary |
Addresses
Primary practice location
719 High St
Portsmouth, VA 23704-3425
Mailing address
49 Prospect Pkwy
Portsmouth, VA 23702-2831
Phone (224) 578-3182
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 951022 | Other | VA | AENTA |
| QCN23702 | Other | VA | AETNA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661299200000",
"number": "1689177503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 PROSPECT PKWY",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237022831",
"telephone_number": "224-578-3182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 HIGH ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237043425",
"telephone_number": "757-330-0222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUICKCARENP",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-16",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "AUTUM",
"authorized_official_middle_name": "FABRE",
"authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
"authorized_official_telephone_number": "757-330-0222",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024175436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AENTA",
"identifier": "951022",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "QCN23702",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
- Quality Care Home Health Service, LLC
- Quality Care Support Services LLC
- Quality Hearing Inc
- Quality Living of Hampton Roads,LLC
- Quality of Life Adult Home Care LLC
- Vangel Orencia Quilon, NP
- Ben Patrick Quinit
- R.I.S.E. Counseling & Consulting Services, LLC
- David Francis Racicot, M.D.
- Jacob John Radabaugh, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.