Active NPI
Bettye Hill Simmons, NP
- Family Nurse Practitioner
- Ft Eustis, VA
National Provider Identifier
1720228505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024168304
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170209000824 | VA | Order and Referring Only - Nurse Practitioner | 0547441024 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024168304 | VA | MD | Family 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.