Active NPI
Courtney Marie Simmons, APRN
- Family Nurse Practitioner
- Orlando, FL
National Provider Identifier
1962044354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11015863
- Practice address
- 11616 Lake Underhill Rd
Orlando, FL 32825-4463 - Phone
- (407) 482-7788
- NPI assigned
- Oct 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9411261 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11015863 | FL | Primary |
Addresses
Primary practice location
11616 Lake Underhill Rd
Orlando, FL 32825-4463
Mailing address
11616 Lake Underhill Rd
Orlando, FL 32825-4463
Phone (321) 693-0783
Other practice location 1
161 N Causeway Ste C
New Smyrna Beach, FL 32169-5300
Phone (386) 424-8440
Other practice location 2
12201 Research Pkwy
Orlando, FL 32826-3298
Phone (321) 693-0783
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9411261 | FL | MD | Registered Nurse |
Interoperability endpoints
- csimmons926616@adventhealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1962044354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11616 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328254463",
"telephone_number": "321-693-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11616 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328254463",
"telephone_number": "407-482-7788"
}
],
"practiceLocations": [
{
"address_1": "161 N Causeway Ste C",
"address_purpose": "LOCATION",
"city": "New Smyrna Beach",
"state": "FL",
"postal_code": "321695300",
"country_code": "US",
"telephone_number": "386-424-8440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12201 Research Pkwy",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328263298",
"country_code": "US",
"telephone_number": "321-693-0783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "COURTNEY",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-17",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9411261",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11015863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.