DEBRA SIMMONS ARNP NPI 1356347058

NPI Information

  • NPI: 1356347058
  • Provider Name: DEBRA SIMMONS, ARNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 2215 PORTLAND AVE
    LOUISVILLE, KY
    ZIP 40212
  • Phone: (502) 774-8631

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NPI Details

Debra Simmons, ARNP is a psychiatric/mental health nurse practitioner in Louisville, KY. Debra Simmons, ARNP NPI is 1356347058. 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:

2215 PORTLAND AVE
LOUISVILLE, KY
ZIP 40212-033
Phone: (502) 774-8631
Fax: (502) 776-8912

The enumeration date for this NPI number is 6/27/2005 and was last updated on 7/8/2007.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health2113SKENTUCKYYes

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
1P07388MEDICARE UPINKENTUCKY
278009982MEDICAIDKENTUCKY
30538750MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYPX
4000000294146OTHERKENTUCKYANTHEM

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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