Martin Simon, CRNFA

Key facts

NPI

1891966750

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse First Assistant 163WR0006X

License

521377 (TX)

Practice address

3111 Hillside Dr
Highland Village, TX 75077-6453

Phone

(214) 914-5089

NPI assigned

Mar 19, 2008

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 23, 2008.

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206230400000",
    "number": "1891966750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 HILLSIDE DR",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750776453",
            "telephone_number": "214-914-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 HILLSIDE DR",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750776453",
            "telephone_number": "214-914-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "CRNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "521377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0018HT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Village, TX

• Karin E Schwob, PA-C
• Cassie Ann Seitz, FNP BC, APRN
• Serenity Physio and Wellness, LLC
• Tricia Blair Sias, M.D.
• Jason Isaac Siegel, MD
• Sara Simons
• Natalie K Smith, D.M.D
• Southern Horizon Healthcare, PLLC
• Kerrigan Spangler, LPC-ASSOCIATE
• Sports Concussion Treatment Center of Texas

All providers in Highland Village, TX · Registered Nurse First Assistant in Texas