Active NPI
Rebecca J Simpson, PA-C
- Physician Assistant
- SLC, UT
National Provider Identifier
1720159403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1863
- Practice address
- 344 E 100 S
SLC, UT 84111-1700 - Phone
- (801) 428-4257
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 494 | WY | |
| Medical Physician Assistant | 363AM0700X | PA269 | ID | |
| Physician Assistant | 363A00000X | 1863 | NE | Primary |
Addresses
Primary practice location
344 E 100 S
SLC, UT 84111-1700
Mailing address
344 E 100 S
SLC, UT 84111-1700
Phone (801) 428-4257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA1Q5 | Other | ID | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1863 | NE | MD | Dental Hygienist |
| PA269 | ID | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Odyssey House Inc | Current | Accepting new patients | |
| G Adrian Dean MD Inc | Past | Accepting new patients |
Locations
117 W 400 S
Slc, UT 84101
Phone (385) 200-0110
340 E 100 S
Slc, UT 84111
Phone (801) 322-3397
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1407481245
-
- Psychiatry Physician
- Twin Falls, ID
- NPI 1386737989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1720159403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 E 100 S",
"city": "SLC",
"state": "UT",
"postal_code": "841111700",
"telephone_number": "801-428-4257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 E 100 S",
"city": "SLC",
"state": "UT",
"postal_code": "841111700",
"telephone_number": "801-428-4257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "REBECCA",
"middle_name": "J",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WY",
"license": "494",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ID",
"license": "PA269",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "1863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "PA1Q5",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in SLC, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.