IndividualActive
Creseta Simmons, AGNP-C
NPI 1780242131 · Gerontology Nurse Practitioner · Kirkland, WA
Provider details
- NPI number
- 1780242131
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- AP60971067 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11417 124th Ave Ne Ste 100
Kirkland, WA 98033-4677
Phone: (800) 640-3451
Street-level locationGet directions
Mailing address
Po Box 1200
Pleasant Grove, UT 84062-1200
Additional practice locations (1)
- 500 19th Ave ESeattle, WA 98112-4007Phone: (206) 299-1600
Registry dates
- Enumerated
- 2019-05-31
- Last updated
- 2024-12-05
- Certified
- 2024-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.