Provider Demographics
NPI:1053119917
Name:SIMS, BARBARA ANN (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:SIMS
Suffix:
Gender:
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8807 N 158TH ST
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68007-7498
Mailing Address - Country:US
Mailing Address - Phone:402-320-2787
Mailing Address - Fax:
Practice Address - Street 1:4611 S 96TH ST STE 242
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1244
Practice Address - Country:US
Practice Address - Phone:402-812-9108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE45928163WA2000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163W00000XNursing Service ProvidersRegistered Nurse