MR. MATT SIMMONS (NPI# 1225416886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225416886 |
| Entity Type | Individual |
| Full Name | MR. MATT SIMMONS |
| Credential | LMT, LR |
| Practice Address |
4955 17th Ave S Ste 116 Fargo ND 58103-3372 |
| Mailing Address |
1806 56th Ave S Fargo ND 58104-6386 |
| Practice Telephone | 7018933888 |
| Mailing Telephone | 7015203154 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 1361 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4955 17TH AVE S STE 116 |
| City | FARGO |
| State | ND |
| Zip Code | 58103-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255820 | Eric B Glass | Massage Therapist | 5257 27th St S, Fargo, ND 58104-7780 | 2020-01-31 |
| 1508393505 | Annie Rose Larsen | Massage Therapist | 3222 28th St S Ste A, Fargo, ND 58104-5183 | 2017-05-22 |
| 1497143317 | Stephanie Wilson | Massage Therapist | 1790 32 Nd Ave South Suite 1a, Fargo, ND 58104 | 2014-12-30 |
| 1689096125 | Katie E Stock | Massage Therapist | 2553 Kirsten Ln S Ste 207, Fargo, ND 58104-4901 | 2014-01-17 |
| 1205175544 | Ann Hazel Terry | Massage Therapist | 2600 52nd Ave S Ste 103, C/o Urban Edge, Fargo, ND 58104-7173 | 2013-02-06 |
| 1104129527 | Lisa Marie Wourms | Massage Therapist | 1121 Westrac Dr S Ste 102, Fargo, ND 58103-2385 | 2010-12-07 |
| 1245544147 | Jennifer Lynn Nett | Massage Therapist | 3120 15th St S, Fargo, ND 58103-5939 | 2010-08-03 |
| 1639703861 | Natalie Sticka | Massage Therapist | 3242 20th St S, Fargo, ND 58104-5917 | 2020-02-26 |
| 1124684915 | Heather Ketterling | Massage Therapist | 3242 20th St S, Fargo, ND 58104-5917 | 2019-05-16 |
| 1508355041 | Carly Shae Bjornstad | Massage Therapist | 3222 28th St S, Fargo, ND 58104-5183 | 2018-05-09 |
| Find all providers in FARGO | ||||
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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.