Individual provider Active NPI

Roxanne Marie Simmons, MD

  • Pediatrics Physician
  • Lincoln, RI
National Provider Identifier
1750341228
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD08908 Issued in RI
Practice address
6 Blackstone Valley PL Ste 500
Lincoln, RI 02865-1102
Phone
(401) 334-1200
Fax
(401) 334-1111
NPI assigned
Mar 27, 2006
Last updated
Dec 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD08908 RI Primary

Addresses

Primary practice location

6 Blackstone Valley PL Ste 500
Lincoln, RI 02865-1102

Mailing address

6 Blackstone Valley PL
Suite 702
Lincoln, RI 02865-1179
Phone (401) 334-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210928000820 RI Practitioner - Pediatric Medicine 2961587571 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD08908RIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children First Pediatrics Inc Pediatrics CurrentSince Dec 1, 2007 Accepting new patients

Locations

6 Blackstone Valley Pl
Ste 500
Lincoln, RI 02865
Phone (401) 334-1200

6 Blackstone Valley Pl
Ste 702
Lincoln, RI 02865
Phone (401) 214-3971

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABDGAA
  • Direct secure messaging: rsimmons@direct.carene.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1750341228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL",
            "address_2": "SUITE 702",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651179",
            "telephone_number": "401-334-1200",
            "fax_number": "401-334-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL STE 500",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651102",
            "telephone_number": "401-334-1200",
            "fax_number": "401-334-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ROXANNE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD08908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.