Individual provider Active NPI

Stephanie L Simmons, RN, MSN, APRN,FNP-C

  • Family Nurse Practitioner
  • Bunkie, LA
National Provider Identifier
1952642407
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06993 Issued in LA
Practice address
1536 Bordelon Rd
Bunkie, LA 71322
Phone
(318) 346-6657
NPI assigned
Mar 8, 2013
Last updated
Mar 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP125558 TX
Family Nurse Practitioner 363LF0000X AP06993 LA Primary
Registered Nurse 163W00000X 745648 TX

Addresses

Primary practice location

1536 Bordelon Rd
Bunkie, LA 71322

Mailing address

103 Nash St
Winnfield, LA 71483-3968
Phone (318) 302-3032

Other practice location 1

6000 Western Pl Ste 900
Ft Worth, TX 76107-4691
Phone (817) 231-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20190515002645 LA Practitioner - Nurse Practitioner 4880969807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

431 W Lafayette St
Winnfield, LA 71483-3463
Phone (318) 648-0375

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
745648TXMDRegistered Nurse
AP125558TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Sep 14, 2022 Accepting new patients
Winn Community Health Center, Inc. Current Accepting new patients
Winn Community Health Center, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Sep 14, 2022 Accepting new patients
Winn Community Health Center, Inc. Nurse Practitioner CurrentSince Apr 1, 2019 Accepting new patients
Winn Community Health Center, Inc. Family Past Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients
Winn Community Health Center, Inc. Family Past Accepting new patients
Winn Community Health Center, Inc. Family Past Accepting new patients

Locations

122 Maryland Ave
Alexandria, LA 71301
Phone (318) 628-0088

2727 Jones Ave
Alexandria, LA 71302
Phone (318) 209-4510

505 Texas Ave
Alexandria, LA 71301
Phone (318) 704-6283

800 Ola St
Alexandria, LA 71303

301 3rd St
Colfax, LA 71417
Phone (318) 627-3254

340 Webb Smith Dr
Colfax, LA 71417
Phone (318) 627-3700

1000 Highway 1241
Dry Prong, LA 71423
Phone (318) 640-5487

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

2580 Highway 122
Montgomery, LA 71454
Phone (318) 640-5487

900 Harrison Dr
Montgomery, LA 71454
Phone (318) 640-5487

9465 Highway 165
Pollock, LA 71467
Phone (318) 310-2070

2826 Bienville Rd
Ringgold, LA 71068
Phone (318) 894-2341

3265 Military Rd
Ringgold, LA 71068
Phone (318) 894-0220

401 E Vaughn Ave
Ste 104105
Ruston, LA 71270
Phone (318) 224-7190

403 W South Ave
Winnfield, LA 71483
Phone (318) 302-3263

431 W Lafayette St
Winnfield, LA 71483
Phone (318) 209-4510

631 Thomas Mill Rd
Winnfield, LA 71483
Phone (318) 302-3263

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1952642407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NASH ST",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714833968",
            "telephone_number": "318-302-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 BORDELON RD",
            "city": "BUNKIE",
            "state": "LA",
            "postal_code": "71322",
            "telephone_number": "318-346-6657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Western Pl Ste 900",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761074691",
            "country_code": "US",
            "telephone_number": "817-231-7000",
            "fax_number": "866-522-6596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, APRN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125558",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06993",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "745648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunkie, LA

Sources for this page

Verify at the official NPI Registry.