Individual provider Active NPI

Kerri Lynn Simerson, CHW, CPHT

  • Community Health Worker
  • Bay City, MI
National Provider Identifier
1851156277
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
5835 Westside Saginaw Rd # 1
Bay City, MI 48706-3447
Phone
(989) 220-6707
NPI assigned
Feb 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

5835 Westside Saginaw Rd # 1
Bay City, MI 48706-3447

Mailing address

5835 Westside Saginaw Rd # 1
Bay City, MI 48706-3447
Phone (989) 220-6707

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

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1851156277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 WESTSIDE SAGINAW RD # 1",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063447",
            "telephone_number": "989-220-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 WESTSIDE SAGINAW RD # 1",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063447",
            "telephone_number": "989-220-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMERSON",
        "first_name": "KERRI",
        "middle_name": "LYNN",
        "credential": "CHW, CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.