Individual provider · Type 1 NPI

Kristi Simmons

Student in an Organized Health Care Education/Training Program · Los Lunas, NM

NPI number 1114881679 Active

Practice location

2112 Main St NE Ste A
Los Lunas, NM 87031-7097

Call (505) 717-1155 Map

Fax (505) 717-1473

Mailing address

6001 Whiteman Dr NW
Albuquerque, NM 87120-2196

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114881679

Kristi Simmons's National Provider Identifier is 1114881679, issued on Dec 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Lunas, NM. The record was last updated on Dec 10, 2025.