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
- 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
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1345961 | Other | TX | CIGNA |
| 1410474-02 | Other | TX | CSHCN MEDICAID |
| 9194834 | Other | TX | PRIVATE HEALTNCARE SYST |
| 0064229 | Other | TX | BLUELINK ACCESS |
| 7129374 | Other | TX | AETNA |
| 8479K0 | Other | TX | BCBS OF TEXAS |
| 141047401 | Medicaid | TX | |
| 2000997 | Other | TX | FIRST HEALTH |
| 742806531J | Other | TX | HUMANA |
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
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 and National Provider Directory roles.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
-
- 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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1345961",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN MEDICAID",
"identifier": "1410474-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTNCARE SYST",
"identifier": "9194834",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUELINK ACCESS",
"identifier": "0064229",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7129374",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8479K0",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141047401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2000997",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "742806531J",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
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.