MS. CAROL W SIMMONS (NPI# 1003892951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003892951 |
| Entity Type | Individual |
| Full Name | MS. CAROL W SIMMONS |
| Credential | RN,FNP,APN |
| Practice Address |
9155 Crestwyn Hills Dr Memphis TN 38125-8501 |
| Mailing Address |
1509 Dulles Dr Lafayette LA 70506-3718 |
| Practice Telephone | 9012614848 |
| Mailing Telephone | 3379919276 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2015-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11782 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3642375 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043320880 | Carol Jean Simmons | Nurse Practitioner | 5941 N Central, Portland, OR 97203 | 2006-08-30 |
| 1659340057 | Carol Ivy Simmons | Social Worker | 7103 A Antock Place, Upper Marlboro, MD 20772 | 2006-03-16 |
| 1154641108 | Carol Benedict Simmons | Counselor | 102 Medical Park, Hattiesburg, MS 39401 | 2010-06-01 |
| 1245428796 | Carol B. Simmons | Counselor | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2007-10-10 |
| 1750397527 | Carol C Simmons | Nurse Practitioner | 452 Second St, Soperton, GA 30457-3004 | 2006-07-31 |
| 1386667301 | Carol Ann-miskell Simmons | Internal Medicine | 405 W Greenlawn, Suite 230, Lansing, MI 48910 | 2006-07-25 |
| Street Address |
9155 CRESTWYN HILLS DR |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125-8501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811652 | Virginia L Shelton | Nurse Practitioner | 9155 Crestwyn Hills Dr, Memphis, TN 38125-8501 | 2005-09-12 |
| 1255702973 | Tennessee Phs Md LLC | Family Medicine | 9155 Crestwyn Hills Dr, Memphis, TN 38125-8501 | 2015-10-08 |
| 1013261619 | Alfe F. White-crawford | Nurse Practitioner | 9155 Crestwyn Hills Dr, Memphis, TN 38125-8501 | 2012-11-04 |
| 1871802082 | New Mexico Phs LLC | Family Medicine | 9155 Crestwyn Hills Dr, Memphis, TN 38125-8501 | 2010-10-05 |
| 1386966943 | Ohio Phs LLC | Family Medicine | 9155 Crestwyn Hills Dr, Memphis, TN 38125-8501 | 2010-02-24 |
| 1902128564 | Oklahoma Phs LLC | Family Medicine | 9155 Crestwyn Hills Dr, Memphis, TN 38125-8501 | 2010-02-24 |
| 1184854473 | Tennessee Phs PC | Family Medicine | 9155 Crestwyn Hills Dr, Memphis, TN 38125-8501 | 2009-07-21 |
| 1700982204 | Rebecca H Adkins | Nurse Practitioner | 9155 Crestwyn Hills Dr, Memphis, TN 38125-8501 | 2006-09-15 |
| 1770532582 | Emily R Laird | Nurse Practitioner | 9155 Crestwyn Hills Dr, Memphis, TN 38125-8501 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
| 1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
| Find all providers in zip 38125 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1245837533 | Sandra Dee Garrison | Nurse Practitioner | 335 Lillian Dr, Memphis, TN 38109-4431 | 2020-10-08 |
| 1972119527 | Oneka E Poindexter | Nurse Practitioner | 86 N Rembert St, Memphis, TN 38104-2766 | 2020-09-18 |
| 1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
| 1346869187 | Tollaria Williams | Nurse Practitioner | 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 | 2020-04-12 |
| 1497388912 | Michelle Denise Jones | Nurse Practitioner | 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 | 2020-02-13 |
| 1336781657 | J Wilson Health LLC | Nurse Practitioner | 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 | 2019-10-09 |
| 1265081574 | Natalie Staten | Nurse Practitioner | 7651 Shelby Forest Cv, Memphis, TN 38125-2822 | 2019-09-09 |
| 1881247740 | Mekeilah Nevaun Johnson | Nurse Practitioner | 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 | 2019-07-19 |
| 1205488087 | Wendy Powell | Nurse Practitioner | 1407 Union Ave Ste 405, Memphis, TN 38104-3627 | 2019-07-12 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.