SHAVONNE SIMONICH FNP NPI 1508334277

NPI Information

NPI: 1508334277
Provider Name: SHAVONNE SIMONICH, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: INTEGRATED MEDICAL CONSULTANTS

PECOS Registration: Yes

Address:
3810 GRANT AVE
LOVELAND, CO
ZIP 80538
Phone: (970) 221-9451
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Shavonne Simonich, FNP is a family nurse practitioner in Loveland, CO with 16 years of experience. Shavonne Simonich, FNP NPI is 1508334277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3810 GRANT AVE
LOVELAND, CO
ZIP 80538-412
Phone: (970) 221-9451

The NPI 1508334277 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/11/2018 and was last updated on 11/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0994279	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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