Active NPIIndividual provider

Ivelisse Olivencia-Simmons, NP

Nurse Practitioner in Gastonia, North Carolina

NPI Number1295931251
Practice location
2555 Court Dr Ste 200, Gastonia, NC 28054-2178
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
Zip
28054-2178
Phone Number
704-867-2141
Fax Number
704-867-2308
Gastonia, NC 28054Get directions →

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

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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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.

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