Active NPI
Cheryl Simmons, FNP
- Family Nurse Practitioner
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP3582
- Practice address
- 2730 S Val Vista Dr
Suite 138 BLD 7
Gilbert, AZ 85295-1675 - Phone
- (480) 686-9686
- Fax
- (480) 686-9508
- NPI assigned
- Mar 8, 2010
- Last updated
- Mar 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | AP3582 | AZ | Primary |
Addresses
Primary practice location
2730 S Val Vista Dr
Suite 138 BLD 7
Gilbert, AZ 85295-1675
Mailing address
2730 S Val Vista Dr
Suite 138 BLD 7
Gilbert, AZ 85295-1675
Phone (480) 686-9686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20100422001119 | AZ | Practitioner - Nurse Practitioner | 8921135922 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Interoperability endpoints
- cheryl.simmons.1@31506.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Arizona Life Hospice - Mohave | Hospice | 5% Or Greater Indirect Ownership Interest (46.55%) Corporate Officer (46.55%) |
Mar 31, 2025 Mar 31, 2025 |
| Arizona Life Hospice - Yavapai | Hospice | 5% Or Greater Indirect Ownership Interest (50%) Corporate Officer (50%) |
Mar 28, 2025 Mar 28, 2025 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Arizona Life Hospice - Yavapai
- Community Based Hospice Care Agency
- Prescott, AZ
- NPI 1659970648
5% Or Greater Indirect Ownership Interest, Corporate Officer
-
dba Arizona Life Hospice - Mohave
- Community Based Hospice Care Agency
- Fort Mohave, AZ
- NPI 1235631094
5% Or Greater Indirect Ownership Interest, Corporate Officer
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1740503622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 S VAL VISTA DR",
"address_2": "SUITE 138 BLD 7",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951675",
"telephone_number": "480-686-9686",
"fax_number": "480-686-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 S VAL VISTA DR",
"address_2": "SUITE 138 BLD 7",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951675",
"telephone_number": "480-686-9686",
"fax_number": "480-686-9508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "CHERYL",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-08",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP3582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.