Individual provider Active NPI

Cynthia Ann Simons, APRN, BC-PCM

  • Clinical Nurse Specialist
  • Newark, OH
National Provider Identifier
1811993785
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
RN-167109/NS-08233 Issued in OH
Practice address
2269 Cherry Valley Rd SE
Newark, OH 43055-9323
Phone
(740) 344-0311
Fax
(740) 344-6577
NPI assigned
Jun 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X RN-167109/NS-08233 OH Primary

Addresses

Primary practice location

2269 Cherry Valley Rd SE
Newark, OH 43055-9323

Mailing address

515 N 12TH St
Newark, OH 43055-4674
Phone (740) 349-7842

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 Specialist

State licenses

LicenseStateTypeSpecialty
RN-167109/NS-08233OHMDClinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1811993785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N 12TH ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430554674",
            "telephone_number": "740-349-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 CHERRY VALLEY RD SE",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559323",
            "telephone_number": "740-344-0311",
            "fax_number": "740-344-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "APRN, BC-PCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "OH",
            "license": "RN-167109/NS-08233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.