Active NPI
Chassidy L Simmons, LPN
- Licensed Practical Nurse
- Indianpolis, IN
National Provider Identifier
1982805438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 27045130A
- Practice address
- 8060 Kneu Road
General Healthcare Suite 110
Indianpolis, IN 46250 - Phone
- (317) 842-5073
- NPI assigned
- May 31, 2007
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 27045130A | IN | Primary |
Addresses
Primary practice location
8060 Kneu Road
General Healthcare Suite 110
Indianpolis, IN 46250
Mailing address
8237 Lakeshore Cirlce
Apt 4413
Indianapolis, IN 46250
Phone (317) 508-5943
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27045130A | IN | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982805438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8237 LAKESHORE CIRLCE",
"address_2": "APT 4413",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46250",
"telephone_number": "317-508-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8060 KNEU ROAD",
"address_2": "GENERAL HEALTHCARE SUITE 110",
"city": "INDIANPOLIS",
"state": "IN",
"postal_code": "46250",
"telephone_number": "317-842-5073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "CHASSIDY",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IN",
"license": "27045130A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianpolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.