Individual provider Active NPI

Vicky Laurine Simbro, RN, BSN

  • Critical Access Hospital
  • Osage Beach, MO
National Provider Identifier
1750512042
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
125894 Issued in MO
Practice address
4505 Cove Rd
Osage Beach, MO 65065-2307
Phone
(573) 552-8525
NPI assigned
Aug 4, 2009
Last updated
Aug 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 125894 MO Primary

Addresses

Primary practice location

4505 Cove Rd
Osage Beach, MO 65065-2307

Mailing address

4505 Cove Rd
Osage Beach, MO 65065-2307
Phone (573) 552-8525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
125894MOMDCritical Access Hospital

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1750512042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 COVE RD",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650652307",
            "telephone_number": "573-552-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 COVE RD",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650652307",
            "telephone_number": "573-552-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMBRO",
        "first_name": "VICKY",
        "middle_name": "LAURINE",
        "name_prefix": "Miss",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MO",
            "license": "125894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.