Active NPI
Kathleen T Simon, CNM
- Midwife
- Las Cruces, NM
National Provider Identifier
1790885630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 338
- Practice address
- 4351 E Lohman Ave
Suite 401
Las Cruces, NM 88011-8259 - Phone
- (575) 522-4767
- Fax
- (575) 522-3607
- NPI assigned
- Sep 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 338 | NM | Primary |
| Registered Nurse | 163W00000X | R36042 | NM |
Addresses
Primary practice location
4351 E Lohman Ave
Suite 401
Las Cruces, NM 88011-8259
Mailing address
4351 E Lohman Ave
Suite 401
Las Cruces, NM 88011-8259
Phone (575) 522-4767
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R36042 | NM | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step Center | Midwife | Past | Accepting new patients |
| Las Cruces Physician Services LLC | Past | Accepting new patients | |
| Familycare Associates,PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1821161407
-
- Orthopaedic Surgery Physician
- Las Cruces, NM
- NPI 1215079678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365379200000",
"number": "1790885630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4351 E LOHMAN AVE",
"address_2": "SUITE 401",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118259",
"telephone_number": "575-522-4767",
"fax_number": "575-522-3607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4351 E LOHMAN AVE",
"address_2": "SUITE 401",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118259",
"telephone_number": "575-522-4767",
"fax_number": "575-522-3607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "KATHLEEN",
"middle_name": "T",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2013-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NM",
"license": "338",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "R36042",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.