Karla Rene'E Simmelink, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

92003108 Issued in OR

Practice address

719 SE Rodeo LN
Madras, OR 97741-9428

Phone

(503) 351-1995

NPI assigned

Jul 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Karla Yoder Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1770154148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 SE RODEO LN",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977419428",
            "telephone_number": "503-351-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 SE RODEO LN",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977419428",
            "telephone_number": "503-351-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMELINK",
        "first_name": "KARLA",
        "middle_name": "RENE'E",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "92003108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "YODER",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bruce Schwandt, DDS
• Anita Sergeant, TWH
• Ivaniel Serrano
• Kellie Marie Shepherd, CARE GIVER
• Jessica Silva-Olivas
• Tracey L Sklenar
• Joella Smith, CRM
• Katherine Snyder, MD
• Laura Ashly Sparrell, CADC-1
• Susan Speck, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.