Evelyn Faye Simerly, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4496989 Issued in TN

Practice address

243 Cedar LN
Bristol, TN 37620-8162

Phone

(423) 878-8432

NPI assigned

Sep 25, 2007

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

Other identifiers 1

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1760678684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CEDAR LN",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376208162",
            "telephone_number": "423-878-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CEDAR LN",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376208162",
            "telephone_number": "423-878-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMERLY",
        "first_name": "EVELYN",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "4496989",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "TN",
            "license": "4496989",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSES LICENSE",
            "identifier": "4496989",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Nicole Shortt, ACNP-AG
• William R Shumaker, O.D.
• Jake Sides
• Samuel Sim, MD
• Kelly Carter Simcox, FNP-BC
• Mara W Sindoni, MA
• Brittney Kestner Skeen
• Samantha Denise Slagle, LCSW
• Laura Slaughter
• Jon Slaven, PA-C

• Registered Nurse in Bristol, TN
• Providers in Bristol, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.