MICHELLE SIMMONS NPI 1447644349

NPI Information

NPI: 1447644349
Provider Name: MICHELLE SIMMONS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
10373 NE HANCOCK ST STE 200
PORTLAND, OR
ZIP 97220
Phone: (503) 253-6754
Get Directions

Michelle Simmons is a psychiatric/mental health nurse practitioner in Portland, OR. Michelle Simmons NPI is 1447644349. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10373 NE HANCOCK ST STE 200
PORTLAND, OR
ZIP 97220-873
Phone: (503) 253-6754
Fax: (503) 253-8020

The NPI 1447644349 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 3/27/2015 and was last updated on 7/21/2022.

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	101YM0800X	Counselor	Mental Health			No
2	163W00000X	Registered Nurse		RN00158264	WASHINGTON	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN00158264	WASHINGTON	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	201706909NP-PP	OREGON	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: 4/28/2024

NPI Synchronization or Removal

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