Individual provider Active NPI

Shannon K Simmons, CRNP

  • Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1942440755
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-087017 Issued in AL
Practice address
810 Franklin St SE
Suite a
Huntsville, AL 35801-4310
Phone
(256) 533-7676
Fax
(256) 533-3171
NPI assigned
Mar 6, 2009
Last updated
Mar 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-087017 AL Primary

Addresses

Primary practice location

810 Franklin St SE
Suite a
Huntsville, AL 35801-4310

Mailing address

810 Franklin St SE
Suite a
Huntsville, AL 35801-4310
Phone (256) 533-7676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100122000276 AL Practitioner - Nurse Practitioner 5092857433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Consultants of Huntsville PCGroup PAC ID 3678674082, 14 clinicians

Practice addresses (Care Compare)

2317 Memorial Pkwy SW
Suite 300
Huntsville, AL 35801-5856
Phone (256) 881-4112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-087017ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consultants of Huntsville, P.C. CurrentSince Mar 1, 2018 Accepting new patients
Alabama Nephrologists Inc Past Accepting new patients
HH Physicians Network Past Accepting new patients

Locations

2317 Memorial Pkwy SW
Ste 300
Huntsville, AL 35801
Phone (256) 881-4112

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIDJCD

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": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1942440755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 FRANKLIN ST SE",
            "address_2": "SUITE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014310",
            "telephone_number": "256-533-7676",
            "fax_number": "256-533-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 FRANKLIN ST SE",
            "address_2": "SUITE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014310",
            "telephone_number": "256-533-7676",
            "fax_number": "256-533-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "SHANNON",
        "middle_name": "K",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-087017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.