Shirley Simons, APRN
Individual provider Active NPI Family Nurse Practitioner · Louisville, KY
NPI 1962738005 · NPPES record last updated Aug 23, 2011
Key facts
- NPI
- 1962738005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3003349 (KY)
- Practice address
- 4960 Norton Healthcare Blvd
Louisville, KY 40241-2831 - Phone
- (502) 446-8660
- Fax
- (502) 446-8665
- NPI assigned
- Oct 24, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3003349 | KY | MD | Family Nurse Practitioner |
Interoperability endpoints
- ssimons19617@direct.nortonhealthcare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3003349 | KY | Yes |
Addresses
Primary practice location
4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Mailing address
4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8660
Other providers in Louisville, KY
- Paul Simon
- Steven Jack Simon
- Linda Susanna Simonis
- Ruth Margaret Simons
- Serenity Simons
- Randy Jack Simpkins
- Simplicity Health Billing and Staffing LLC
- Simplicity Health Nursing Home
- Simplicity Monitoring and Diagnostics LLC
- Simplicity Transitional Health LLC
All providers in Louisville, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.