MRS. ROSE A. SIMON LPN NPI 1326000985

NPI Information

  • NPI: 1326000985
  • Provider Name: MRS. ROSE A. SIMON, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 138 CECIL MALONE DR
    ITHACA, NY
    ZIP 14850
  • Phone: (607) 273-0466

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NPI Details

MRS. Rose A. Simon, LPN is a licensed practical nurse in Ithaca, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MRS. Rose A. Simon, LPN NPI is 1326000985. 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:

138 CECIL MALONE DR
ITHACA, NY
ZIP 14850-124
Phone: (607) 273-0466
Fax: (607) 273-0466

The enumeration date for this NPI number is 4/6/2006 and was last updated on 2/21/2012.

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
1164W00000XLicensed Practical Nurse11271-031WISCONSINNo
2164W00000XLicensed Practical Nurse3063031NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11841595MEDICAIDWISCONSIN
2161413735MEDICAIDNEW YORK

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: 11/21/2025

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