Healthcare Provider Details

I. General information

NPI: 1700450657
Provider Name (Legal Business Name): RHEA SIMS MSC, BSN, RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2021
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CAMINO DE LOS ACEBOS 24
SIERO ASTURIAS
33429
ES

IV. Provider business mailing address

2716 W MICHELLE DR
PHOENIX AZ
85053-1727
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number347850
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number692587
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code163WP1700X
TaxonomyPerinatal Registered Nurse
License Number347850
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code163WP1700X
TaxonomyPerinatal Registered Nurse
License Number692587
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-321031
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: