DEREK SIMMONS (NPI# 1467916510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467916510 |
| Entity Type | Individual |
| Full Name | DEREK SIMMONS |
| Practice Address |
7912 Hunt Rd Springfield IL 62712-8995 |
| Practice Telephone | 2177411802 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730556010 | Derek Xavier Simmons | Counselor | 2 Pittman Ln, Sicklerville, NJ 08081-2009 | 2015-08-21 |
| 1366821993 | Derek Simmons | Nurse Practitioner | 700 Ne 87th Ave # 260, Vancouver, WA 98664-1913 | 2015-05-28 |
| Street Address |
7912 HUNT RD |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62712-8995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881943678 | Roland Folse | Surgery | 2 Virginia Lane, Springfield, IL 62712 | 2012-09-07 |
| 1548351703 | Sarah Megan Toland | Speech-Language Pathologist | 3700 Castle Hill Blvd, Springfield, IL 62712 | 2006-09-27 |
| 1558463760 | Beverly J Matthews | Psychologist | 3517 Carnoustie Dr, Springfield, IL 62712 | 2006-09-01 |
| 1164593018 | Mark Alan Rose | Dentist | 6301 Wind Tree Rd, Springfield, IL 62712-3738 | 2006-11-13 |
| 1457392227 | Matticks Medcon LLC | Durable Medical Equipment & Medical Supplies | 6309 Wind Tree Rd, Springfield, IL 62712-3738 | 2006-06-10 |
| 1265602452 | Roderick L Matticks | Family Medicine | 6309 Wind Tree Rd, Springfield, IL 62712-3738 | 2008-03-04 |
| 1134321581 | Donna Maria Matticks | Developmental Therapist | 6309 Wind Tree Rd, Springfield, IL 62712-3738 | 2007-06-05 |
| 1134595531 | Karen Brown | Behavioral Analyst | 15 E Hazel Dell Ln, Springfield, IL 62712-4210 | 2015-08-19 |
| 1255834651 | Denise Kay Demoulin | Speech-Language Pathologist | 15 E Hazel Dell Ln, Springfield, IL 62712-4210 | 2018-03-12 |
| 1275089302 | Victoria Branda | Behavioral Analyst | 15 E Hazel Dell Ln, Springfield, IL 62712-4210 | 2016-08-29 |
| Find all providers in zip 62712 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1124649702 | Bridget Fenger | Specialist/Technologist | 521 W Central St, Springfield, MN 56087-1213 | 2020-05-05 |
| 1598302846 | Tamanna Kazi | Specialist/Technologist | 6746 Metropolitan Center Dr Apt 204, Springfield, VA 22150-4582 | 2019-12-05 |
| 1861035172 | Kory Matthew Kasper | Specialist/Technologist | 117 N Pittsburg Lndg, Springfield, IL 62711-8208 | 2019-10-21 |
| 1760037691 | Lauren Potter | Specialist/Technologist | 607 Highland Rd, Springfield, VT 05156-8844 | 2019-08-07 |
| 1033763271 | Ariana Nicole Hetland-purna | Specialist/Technologist | 1045 Grand St (art Annex Building), Springfield, MO 65897-0001 | 2019-07-25 |
| 1962968867 | Chad Michael Linck | Specialist/Technologist | 2125 N Glenstone Ave, Springfield, MO 65802 | 2019-02-15 |
| 1669938080 | Corey Michael Ratsch | Specialist/Technologist | 1116 E Cherry St Rm 300, Springfield, MO 65807-1517 | 2019-02-11 |
| 1164987640 | Emilee Pierce | Specialist/Technologist | 2015 W University St Apt E212, Springfield, MO 65807-7890 | 2019-02-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62712 |
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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.