Individual provider Active NPI

Adrienne Theresa Simes

  • Home Health Registered Nurse
  • Holly Springs, NC
National Provider Identifier
1962153874
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
260156 Issued in NC
Practice address
344 Lucky Ribbon LN
Holly Springs, NC 27540-6158
Phone
(919) 935-3192
NPI assigned
Jan 12, 2022
Last updated
Jan 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 260156 NC Primary

Addresses

Primary practice location

344 Lucky Ribbon LN
Holly Springs, NC 27540-6158

Mailing address

344 Lucky Ribbon LN
Holly Springs, NC 27540-6158
Phone (919) 935-3192

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adriennetsimes@glowinglanternhomehealth.com Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
260156NCMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Glowing Lantern Home Health CurrentSince Oct 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1962153874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 LUCKY RIBBON LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406158",
            "telephone_number": "919-935-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 LUCKY RIBBON LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406158",
            "telephone_number": "919-935-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMES",
        "first_name": "ADRIENNE",
        "middle_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NC",
            "license": "260156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adriennetsimes@glowinglanternhomehealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "344 Lucky Ribbon Ln",
            "city": "Holly Springs",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275406158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.