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NPI 1689177503ActiveOrganization· Nurse Practitioner, Family· Portsmouth, VA
Nurse Practitioner, Family in Portsmouth, Virginia, registered in NPPES in March 2018. The authorized official on file is Autum Fabre Simmons, FNP, Owner/Nurse Practitioner.
Overview
| NPI | 1689177503 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2018 |
| Last updated in NPPES | Aug 24, 2022 |
| Certified by provider | Aug 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 0024175436 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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