Active NPI
Sandra K Simmons, APRN
- Adult Health Nurse Practitioner
- Fayetteville, AR
National Provider Identifier
1851363469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- A004848
- Practice address
- 3232 N Northhills Blvd
Fayetteville, AR 72703-4005 - Phone
- (479) 587-1700
- NPI assigned
- Feb 7, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R0091687 | OK | |
| Adult Health Nurse Practitioner | 363LA2200X | 45271 | KS | |
| Adult Health Nurse Practitioner | 363LA2200X | A004848 | AR | Primary |
Addresses
Primary practice location
3232 N Northhills Blvd
Fayetteville, AR 72703-4005
Mailing address
3232 N Northhills Blvd
Fayetteville, AR 72703-4005
Phone (479) 587-1700
Other practice location 1
808 S 52nd St
Rogers, AR 72758-8602
Phone (479) 587-1700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851363469 | Medicaid | MO | |
| 221903758 | Medicaid | AR | |
| 200223030A | Medicaid | OK |
Other names 1
- Sandra K Farler-Hoyt
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45271 | KS | MD | Adult Health Nurse Practitioner |
| R0091687 | OK | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ctca Physicans Group of Oklahoma, Inc | Past | Accepting new patients | |
| Oklahoma Oncology & Hematology PC | Past | Accepting new patients | |
| Tulsa Cancer Institute PLLC | Past | Accepting new patients | |
| Kansas City Cancer Center, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Specialist
- Tulsa, OK
- NPI 1053309591
-
- Medical Oncology Physician
- Overland Park, KS
- NPI 1003864471
-
- Hematology & Oncology Physician
- Tulsa, OK
- NPI 1295785392
-
- Hematology & Oncology Physician
- Tulsa, OK
- NPI 1508172982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1851363469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3232 N NORTHHILLS BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034005",
"telephone_number": "479-587-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3232 N NORTHHILLS BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034005",
"telephone_number": "479-587-1700"
}
],
"practiceLocations": [
{
"address_1": "808 S 52nd St",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "AR",
"postal_code": "727588602",
"country_code": "US",
"telephone_number": "479-587-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "SANDRA",
"middle_name": "K",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OK",
"license": "R0091687",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KS",
"license": "45271",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AR",
"license": "A004848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851363469",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "221903758",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200223030A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "FARLER-HOYT",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.