Lisa Simmons, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN.0995897-NP Issued in CO

Practice address

2928 W 10TH St
Greeley, CO 80634-5426

Phone

(970) 584-2100

NPI assigned

Oct 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JG LLC

  • Primary Care Clinic/Center
  • Greeley, CO
  • NPI 1881101640
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1942807169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345426",
            "telephone_number": "970-584-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345426",
            "telephone_number": "970-584-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "LISA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0995897-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skelly@cofwic.com",
            "affiliation": "N",
            "endpointDescription": "Office Manager",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2928 W 10th St",
            "city": "Greeley",
            "state": "CO",
            "country_code": "US",
            "postal_code": "806345426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Savannah Carly Sievers, PAC
• Alexandria Stephanie Silance, M.S.
• Elizabeth L Silva, CAC III
• Shantel Ellyce Silva, MEDICAL TATTOOIST
• Barbara Zarin Silverman, RN, BSN, MA
• Tiffany Simmons, MA, LPC, LAC
• Sherry Simons, MS CCC-SLP
• Michelle Simonsson, PA-C
• Ola A. Simonsson, PT, OCS, MTC
• Diane Simony

• Nurse Practitioner in Greeley, CO
• Providers in Greeley, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.

Verify at the official NPI Registry.