MS. SHOSHANA SUSAN SIMON MSN RN CS NPI 1770606147

NPI Information

NPI: 1770606147
Provider Name: MS. SHOSHANA SUSAN SIMON, MSN, RN, CS
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1100 LOGGER CT
SUITE 100G
RALEIGH, NC
ZIP 27609
Phone: (919) 855-9090
Get Directions

MS. Shoshana Susan Simon, MSN, RN, CS is a psychiatric/mental health clinical nurse specialist in Raleigh, NC. MS. Shoshana Susan Simon, MSN, RN, CS NPI is 1770606147. 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:

1100 LOGGER CT
SUITE 100G
RALEIGH, NC
ZIP 27609-525
Phone: (919) 855-9090
Fax: (919) 786-9154

The NPI 1770606147 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 4/9/2007 and was last updated on 12/5/2014.

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	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	099925	NORTH CAROLINA	Yes

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
1	RA792	OTHER	NORTH CAROLINA	EMPIRE BLUE CROSS BLUE SH
2	76654	OTHER	NORTH CAROLINA	BLUECROSS BLUE SHIELD ID

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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