Ivelisse Olivencia-Simmons, NP
Nurse Practitioner in Gastonia, North Carolina
1295931251- Practice location
- 2555 Court Dr Ste 200, Gastonia, NC 28054-2178
- Phone
- 704-867-2141
- Fax
- 704-867-2308
- Last updated
- January 19, 2026
Ivelisse Olivencia-Simmons is a Nurse Practitioner based in Gastonia, NC. Ivelisse Olivencia-Simmons practices in Gastonia, NC and has the professional credentials of NP. The NPI Number for Ivelisse Olivencia-Simmons is 1295931251 and holds a License No. 79066 (ID). The current practice location address for Ivelisse Olivencia-Simmons is 2555 Court Dr Ste 200, Gastonia, NC 28054-2178 and can be reached out via phone at 704-867-2141 and via fax at 704-867-2308.
Provider Profile Details
- NPI Number
- 1295931251
- Provider Name
- Ivelisse Olivencia-Simmons
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2555 Court Dr Ste 200, Gastonia, NC 28054-2178
- Phone Number
- 704-867-2141
- Fax Number
- 704-867-2308
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 26, 2007
- Last Update Date
- January 19, 2026
- Certification Date
- January 19, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2555 Court Dr Ste 200
Gastonia, NC 28054-2178 - City
- Gastonia
- State
- North Carolina
- Zip
- 28054-2178
- Phone Number
- 704-867-2141
- Fax Number
- 704-867-2308
Provider Business Mailing Address Details
- Address
- Po Box 744786
Atlanta, GA 30374-4786 - City
- Atlanta
- State
- GA
- Zip
- 30374-4786
- Phone Number
- 704-834-2450
- Fax Number
- 704-671-5331
License Information
- License Number (1)
- 79066
- License State (1)
- ID
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- 5003363
- License State (2)
- NC
- Taxonomy (2)
- Nurse Practitioner, Acute Care · 363LA2100X
- License Number (3)
- 5003363
- License State (3)
- NC
- Taxonomy (3)
- Nurse Practitioner · 363L00000X · Primary
- License Number (4)
- 218300
- License State (4)
- CT
- Taxonomy (4)
- Nurse Practitioner · 363L00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioners near Gastonia, NC
View all Nurse Practitioners in Gastonia →- Kameron Toney, DMDDentist, General Practice · NPI 1063270270
- Highland Heights Opco LLCSkilled Nursing Facility · NPI 1043703945
- Nora D Paysour, FNP-CNurse Practitioner, Family · NPI 1023343621
- Jennifer L Mchan, PMHNPNurse Practitioner, Psych/Mental Health · NPI 1265088058
- Mrs. Buffy K Dover, PMH-NP, BCNurse Practitioner, Psych/Mental Health · NPI 1346006897
- Beverly Lee, PMHNP-BCNurse Practitioner, Psych/Mental Health · NPI 1063169738
Frequently Asked Questions
What is the NPI number of Ivelisse Olivencia-Simmons, NP?
The NPI number of Ivelisse Olivencia-Simmons, NP is 1295931251. It was assigned on June 26, 2007 and is currently active in the NPPES registry.
What is the specialty of Ivelisse Olivencia-Simmons, NP?
Ivelisse Olivencia-Simmons, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in ID under license number 79066.
Where does Ivelisse Olivencia-Simmons, NP practice?
The practice location is 2555 Court Dr Ste 200, Gastonia, NC 28054-2178. The office can be reached at 704-867-2141 (phone) or 704-867-2308 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295931251 directly on the NPPES registry website.