Active NPI
Ether Sims Joe, FNP
- Family Nurse Practitioner
- Winston-Salem, NC
National Provider Identifier
1780658336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- MB200809
- Practice address
- W. S. S. U., a. H. Ray Student Health Center
601 Martin Luther King, Jr., Dr.
Winston-Salem, NC 27110-0001 - Phone
- (336) 750-3302
- Fax
- (336) 750-3303
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 | MB200809 | NC | Primary |
Addresses
Primary practice location
W. S. S. U., a. H. Ray Student Health Center
601 Martin Luther King, Jr., Dr.
Winston-Salem, NC 27110-0001
Mailing address
51 Robinhood Cir
Winston Salem, NC 27106-4260
Phone (336) 922-6840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000169 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB200809 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winston Salem State University, a. H. Ray Student Health Service | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Student Health Clinic/Center
- Winston Salem, NC
- NPI 1376716811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780658336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 ROBINHOOD CIR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271064260",
"telephone_number": "336-922-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W. S. S. U., A. H. RAY STUDENT HEALTH CENTER",
"address_2": "601 MARTIN LUTHER KING, JR., DR.",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271100001",
"telephone_number": "336-750-3302",
"fax_number": "336-750-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOE",
"first_name": "ETHER",
"middle_name": "SIMS",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "MB200809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000169",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston-Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.