Laura Marie Sullivan-Simenson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024170319 Issued in VA

Practice address

10814 Heatherwood Dr
Spotsylvania, VA 22553-1666

Phone

(540) 324-7442

NPI assigned

Oct 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Emergency Medicine Services of VA, LLC

  • Emergency Medicine Physician
  • Fredericksburg, VA
  • NPI 1992402069
  Medicare reassignment NPD
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593

  VA

  Medicare reassignment NPD
• Golden Sunshine Consulting

  • Primary Care Clinic/Center
  • Fredericksburg, VA
  • NPI 1518749720
  NPD Authorized official
• Bestpractices, Inc.

  • Emergency Medicine Physician
  • Woodbridge, VA
  • NPI 1730180944
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1962754572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10814 HEATHERWOOD DR",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531666",
            "telephone_number": "540-324-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10814 HEATHERWOOD DR",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531666",
            "telephone_number": "540-324-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN-SIMENSON",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Nicole Somers, LMT
• Sonya Sparks
• Spotsylvania County Board of Supervisors
• Spotsylvania Oral Surgery Center PLLC
• Spotsylvania Oral Surgery PLLC
• Christie Dawn Sullivan
• Melissa Sullivan
• Kimberly Swaim, MS, CCC/SLP
• Sarah Tabor, BCABA
• Nancy Rae Talley, LAC

• Family Nurse Practitioner in Spotsylvania, VA
• Providers in Spotsylvania, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.