Active NPI
Eric Thomas Simandle
- Community Health Worker
- Fernley, NV
National Provider Identifier
1891632329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- CWH1-6521
- Practice address
- 400 California Rd
Fernley, NV 89408-8838 - Phone
- (775) 986-3623
- NPI assigned
- May 1, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CWH1-6521 | NV | Primary |
Addresses
Primary practice location
400 California Rd
Fernley, NV 89408-8838
Mailing address
400 California Rd
Fernley, NV 89408-8838
Phone (775) 986-3623
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CWH1-6521 | NV | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1891632329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CALIFORNIA RD",
"city": "FERNLEY",
"state": "NV",
"postal_code": "894088838",
"telephone_number": "775-986-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CALIFORNIA RD",
"city": "FERNLEY",
"state": "NV",
"postal_code": "894088838",
"telephone_number": "775-986-3623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMANDLE",
"first_name": "ERIC",
"middle_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-01",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NV",
"license": "CWH1-6521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fernley, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.