Tiffany Simmons

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201391768RN Issued in OR

Practice address

20370 Poe Sholes Dr
Bend, OR 97701-7938

Phone

(541) 318-1377

NPI assigned

Oct 27, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1730584285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 NE LARAMIE WAY",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20370 POE SHOLES DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017938",
            "telephone_number": "541-318-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201391768RN",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Sim Le, FNP-C, PMHNP-BC
• Julia Beth Simas, MA
• Matthew J Simeti
• Micah Simila, RPH
• Madeleine Anne Simmons, PMHNP
• Torie Bea Simmons, PSS
• Wanda K. Simmons, CRNA
• Patrick L Simning, M.D.
• Natalie Simonson
• Steven M Simpson

• Registered Nurse in Bend, OR
• Providers in Bend, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.