Active NPI
Lalitha Vadlamani-Simmers, M.D.
- Pediatrics Physician
- Niceville, FL
National Provider Identifier
1861477671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME81854
- Practice address
- 490 Highway 85 N Ste a
Niceville, FL 32578-1010 - Phone
- (850) 419-2691
- Fax
- (850) 353-2142
- NPI assigned
- Dec 14, 2005
- Last updated
- Jan 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME81854 | FL | Primary |
Addresses
Primary practice location
490 Highway 85 N Ste a
Niceville, FL 32578-1010
Mailing address
1590 Ruckel Dr
Niceville, FL 32578-1603
Phone (850) 621-5058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262647100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beachside Pediatric Associates, P.a. | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Women & Children First, LLC | Past | Accepting new patients | |
| Privia Medical Group Florida, LLC | Past | Accepting new patients |
Locations
842 State Highway 20 E
Ste 106
Freeport, FL 32439
490 Highway 85 N
Ste A
Niceville, FL 32578
Phone (850) 279-4600
Interoperability endpoints
- https://api.platform.athenahealth.com/22855/brand/1/csg/1/fhir/r4
- lalitha.vadlamani-simmers.1@8042.direct.athenahealth.com
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.
-
- Primary Care Clinic/Center
- Niceville, FL
- NPI 1225634462
-
dba Ascension Medical Group Sacred Heart
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
-
- Specialist
- Santa Rosa Beach, FL
- NPI 1699945170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1861477671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 RUCKEL DR",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781603",
"telephone_number": "850-621-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 HIGHWAY 85 N STE A",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781010",
"telephone_number": "850-419-2691",
"fax_number": "850-353-2142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADLAMANI-SIMMERS",
"first_name": "LALITHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME81854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262647100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.