Individual provider Active NPI

Ether Sims Joe, FNP

  • Family Nurse Practitioner
  • Winston-Salem, NC
National Provider Identifier
1780658336
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
MB200809 Issued in NC
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7000169MedicaidNC

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

LicenseStateTypeSpecialty
MB200809NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.