BE ANDRAH TASHANNY SIMMS FNP-BC NPI 1588415111

NPI Information

  • NPI: 1588415111
  • Provider Name: BE ANDRAH TASHANNY SIMMS, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3340 WATERMAN WAY
    TAVARES, FL
    ZIP 32778
  • Phone: (352) 589-6005

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NPI Details

Be Andrah Tashanny Simms, FNP-BC is a family nurse practitioner in Tavares, FL with 2 years of experience. Be Andrah Tashanny Simms, FNP-BC NPI is 1588415111. 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:

3340 WATERMAN WAY
TAVARES, FL
ZIP 32778-250
Phone: (352) 589-6005

The NPI 1588415111 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 4/1/2024 and was last updated on 6/2/2025.

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
1363LF0000XNurse PractitionerFamily11036820FLORIDAYes

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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