Provider Demographics
NPI:1326325556
Name:SIMS, KATHERINE RAE (APN)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:RAE
Last Name:SIMS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MRS
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:SIMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APN
Mailing Address - Street 1:11439 PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-1974
Mailing Address - Country:US
Mailing Address - Phone:865-777-5600
Mailing Address - Fax:865-777-5900
Practice Address - Street 1:11439 PARKSIDE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-1974
Practice Address - Country:US
Practice Address - Phone:865-777-5600
Practice Address - Fax:865-777-5900
Is Sole Proprietor?:No
Enumeration Date:2011-11-16
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14818363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health