Individual provider Active NPI

Vanessa Simmons, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1871199315
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95022700 Issued in CA
Practice address
6221 Geary Blvd FL 2
San Francisco, CA 94121-1834
Phone
(510) 994-1948
NPI assigned
Dec 9, 2020
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95022700 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95022700 CA Primary
Registered Nurse 163W00000X 95230262 CA

Addresses

Primary practice location

6221 Geary Blvd FL 2
San Francisco, CA 94121-1834

Mailing address

170 S Spruce Ave Ste 200
South San Francisco, CA 94080-4557

Other practice location 1

1801 Vicente St
San Francisco, CA 94116-2923
Phone (508) 259-4561

Other practice location 2

170 S Spruce Ave Ste 200
South San Francisco, CA 94080-4557
Phone (508) 259-4561

Other practice location 3

52 Dore St
San Francisco, CA 94103-3828
Phone (415) 861-0828 ext. 132

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95230262CAMDRegistered Nurse
95022700CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Felton Institute Current Accepting new patients
Felton Institute CurrentSince Oct 30, 2022 Accepting new patients
Felton Institute PastSince Oct 18, 2022 Accepting new patients

Locations

1005 Atlantic Ave
Alameda, CA 94501
Phone (510) 318-6100

1500 Franklin St
San Francisco, CA 94109

6221 Geary Blvd
Fl 2
San Francisco, CA 94121
Phone (415) 386-6600

Organizations & group practices 3

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1871199315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 S SPRUCE AVE STE 200",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 GEARY BLVD FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211834",
            "telephone_number": "510-994-1948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Vicente St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941162923",
            "country_code": "US",
            "telephone_number": "508-259-4561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 S Spruce Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940804557",
            "country_code": "US",
            "telephone_number": "508-259-4561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Dore St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941033828",
            "country_code": "US",
            "telephone_number": "415-861-0828 x132",
            "fax_number": "415-861-0140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "VANESSA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95022700",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95022700",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95230262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.