Individual provider Active NPI

Simone Simmonds Darville

  • Family Nurse Practitioner
  • Davie, FL
National Provider Identifier
1811504319
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009333 Issued in FL
Practice address
5800 S University Dr
Davie, FL 33328-6102
Phone
(866) 389-2727
NPI assigned
Sep 29, 2020
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4017056 KY
Family Nurse Practitioner 363LF0000X 101.0136924 VT
Family Nurse Practitioner 363LF0000X AC006410 MD
Family Nurse Practitioner 363LF0000X 53-82947-072 KS
Family Nurse Practitioner 363LF0000X 11009333 FL Primary
Family Medicine Physician 207Q00000X 09349223 NH
Family Medicine Physician 207Q00000X 0036279 OH
Family Medicine Physician 207Q00000X APRN04398 RI
Family Medicine Physician 207Q00000X CNP241181 ME
Family Medicine Physician 207Q00000X LG-0012968 DE
Family Medicine Physician 207Q00000X NP500021346 DC
Family Medicine Physician 207Q00000X RN10004897 MA

Addresses

Primary practice location

5800 S University Dr
Davie, FL 33328-6102

Mailing address

5800 S University Dr
Davie, FL 33328-6102
Phone (866) 389-2727

Other practice location 1

11729 Roe Ave
Leawood, KS 66211-2605
Phone (866) 389-2727

Other practice location 2

1 Cvs Dr
Woonsocket, RI 02895-6146
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC, KS, ME, NH, MA, RI7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20220627002637 FL Practitioner - Nurse Practitioner 2163801846 Reassigns benefits to 1 organization
I20240430001012 DC Practitioner - Nurse Practitioner 2163801846 Reassigns benefits to 1 organization
I20240502002064 KS Practitioner - Nurse Practitioner 2163801846 Reassigns benefits to 1 organization
I20240520000257 ME Practitioner - Nurse Practitioner 2163801846
I20240523000574 NH Practitioner - Nurse Practitioner 2163801846
I20240625002543 MA Practitioner - Nurse Practitioner 2163801846
I20250310002485 RI Practitioner - Nurse Practitioner 2163801846

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians
Minuteclinic Diagnostic of Maine LLCGroup PAC ID 2264732288, 3 clinicians

Practice addresses (Care Compare)

12280 Lake Underhill Rd
Orlando, FL 32825-5009
Phone (866) 389-2727

51 Market St
South Portland, ME 04106-3617
Phone (866) 389-2727

7599 W Sand Lake Rd
Orlando, FL 32819-5109
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP241181MEMDFamily Medicine Physician
09349223NHMDFamily Medicine Physician
0036279OHMDFamily Medicine Physician
APRN04398RIMDFamily Medicine Physician
11009333FLMDFamily Nurse Practitioner
53-82947-072KSMDFamily Nurse Practitioner
101.0136924VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MC Medical Group of DC, PC Family CurrentSince Jan 3, 2025 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Apr 16, 2024 Accepting new patients

Locations

320 40th St NE
Washington, DC 20019
Phone (202) 236-1840

845 Bladensburg Rd NE
Washington, DC 20002
Phone (202) 247-6551

11729 Roe Ave
Shawnee Mission, KS 66211
Phone (877) 646-2546

1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1811504319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333286102",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333286102",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11729 Roe Ave",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662112605",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Cvs Dr",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028956146",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARVILLE",
        "first_name": "SIMONE",
        "middle_name": "SIMMONDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4017056",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0136924",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC006410",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-82947-072",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009333",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "09349223",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "0036279",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "APRN04398",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "CNP241181",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "LG-0012968",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "NP500021346",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "RN10004897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.