Active NPI
Nikkol J Simms, M.S.OTRL
- Contractor
- Colwyn, PA
National Provider Identifier
1710108758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- OC008482
- Practice address
- 516 South 3Rd Street
Colwyn, PA 19023-3113 - Phone
- (610) 534-2919
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | OC008482 | PA | Primary |
| Contractor | 171W00000X | 46TR00303100 | NJ |
Addresses
Primary practice location
516 South 3Rd Street
Colwyn, PA 19023-3113
Mailing address
516 South 3Rd Street
Colwyn, PA 19023-3113
Phone (610) 534-2919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00303100 | NJ | MD | Contractor |
| OC008482 | PA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710108758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 SOUTH 3RD STREET",
"city": "COLWYN",
"state": "PA",
"postal_code": "190233113",
"telephone_number": "610-534-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 SOUTH 3RD STREET",
"city": "COLWYN",
"state": "PA",
"postal_code": "190233113",
"telephone_number": "610-534-2919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMS",
"first_name": "NIKKOL",
"middle_name": "J",
"credential": "M.S.OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "PA",
"license": "OC008482",
"primary": true
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NJ",
"license": "46TR00303100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colwyn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.