Henrietta A Simonsson, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN 418370 Issued in CA

Practice address

1 Madrone St
Willits, CA 95490-4225

Phone

(707) 456-3050

NPI assigned

Aug 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1730511486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 THIRD GATE RD",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954909566",
            "telephone_number": "707-459-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MADRONE ST",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954904225",
            "telephone_number": "707-456-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSSON",
        "first_name": "HENRIETTA",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "RN 418370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Lee Schneider, NURSE PRACTITIONER
• Kayla Schnitzius
• Heather Crystal Seargeant, BSP
• Sextant Consulting Services, Inc.
• Shawna Handschug Incorporated (Healing Central Chiropractic)
• Diane L Smalley, L.AC.
• Carolyn Jeanne Smith, MFT
• Peter J. Smith
• Taya Smith
• Abbie Gayle Stephens, PPS

• Diabetes Educator Registered Nurse in Willits, CA
• Providers in Willits, CA by specialty
• Diabetes Educator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.