Active NPI
Simone L Norris, MD
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1962408476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J4396
- Practice address
- 333 N. Santa Rosa
Center for Children & Families, 4TH Floor
San Antonio, TX 78207 - Phone
- (210) 704-4140
- Fax
- (210) 704-4136
- NPI assigned
- Jun 21, 2005
- Last updated
- Apr 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J4396 | TX | Primary |
Addresses
Primary practice location
333 N. Santa Rosa
Center for Children & Families, 4TH Floor
San Antonio, TX 78207
Mailing address
333 N. Santa Rosa
Center for Children & Families, Suite 4703
San Antonio, TX 78207
Phone (210) 704-2535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2013 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J4396 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Past | Accepting new patients | |
| Santa Rosa Family Health Center | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba BCM Physicians of San Antonio
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
-
dba Santa Rosa Family Practice Residency Program
- Family Medicine Physician
- San Antonio, TX
- NPI 1679572804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239062400000",
"number": "1962408476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N. SANTA ROSA",
"address_2": "CENTER FOR CHILDREN & FAMILIES, SUITE 4703",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78207",
"telephone_number": "210-704-2535",
"fax_number": "210-704-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N. SANTA ROSA",
"address_2": "CENTER FOR CHILDREN & FAMILIES, 4TH FLOOR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78207",
"telephone_number": "210-704-4140",
"fax_number": "210-704-4136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "SIMONE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2009-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J4396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Margaret C Norris, NP
- Natalie Sophia Norris
- Olivia Rose Norris, AGACNP-BC
- Robert Alan Norris, DDS
- Sarina Norris
- Pamela E Norstrom, M.S., R.PH
- North American Patient Transport, LLC
- North Babcock Dental PLLC
- North Blanco Family Physicians, P.a.
- North Central Cardiac Cath Lab LP (Stone Oak Center for Angiography and Interventions/affiliate of San An)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.