Individual provider Active NPI

Bettye Hill Simmons, NP

  • Family Nurse Practitioner
  • Ft Eustis, VA
National Provider Identifier
1720228505
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168304 Issued in VA
Practice address
576 Jefferson Avenue
McDonald Army Health Center
Ft Eustis, VA 23604-5548
Phone
(757) 878-7500
NPI assigned
Mar 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024168304 VA Primary

Addresses

Primary practice location

576 Jefferson Avenue
McDonald Army Health Center
Ft Eustis, VA 23604-5548

Mailing address

123 Tides Run
Yorktown, VA 23692-4334
Phone (757) 989-3029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170209000824 VA Order and Referring Only - Nurse Practitioner 0547441024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024168304VAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1720228505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 TIDES RUN",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236924334",
            "telephone_number": "757-989-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 JEFFERSON AVENUE",
            "address_2": "MCDONALD ARMY HEALTH CENTER",
            "city": "FT EUSTIS",
            "state": "VA",
            "postal_code": "236045548",
            "telephone_number": "757-878-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "BETTYE",
        "middle_name": "HILL",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Eustis, VA

Sources for this page

Verify at the official NPI Registry.