RANDALL SCOTT SIMMONS


Address: 742 Pacific St, Sedro Woolley, WA 98284-2021
Phone: 3608262661

RANDALL SCOTT SIMMONS (NPI# 1508213778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508213778
Entity Type Individual
Full Name RANDALL SCOTT SIMMONS
Credential CO 60585012
Practice Address 742 Pacific St
Sedro Woolley
WA 98284-2021
Mailing Address 1601 E College Way
Mount Vernon
WA 98273-5612
Practice Telephone 3608262661
Enumeration Date 2016-05-18
Last Update Date 2016-05-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CO 60585012 WA Behavioral Health & Social Service Providers

Other Providers RANDALL SIMMONS

NPI Name Taxonomy Address Enumeration
1093111213 Randall Eugene Simmons Occupational Therapy Assistant 2575 Airline Dr, Bossier City, LA 71111-5812 2014-11-16

Office Location

Street Address 742 PACIFIC ST
City SEDRO WOOLLEY
State WA
Zip Code 98284-2021

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174138994 Matthew Thomas Schaeffer Counselor 1690 Thompson Drive, Sedro Woolley, WA 98284 2020-09-09
1841852407 Melissa Lynn Rose Licensed Practical Nurse Pcn, 1960 Thompson Dr, Sedro Wooley, WA 98284 2019-07-03
1730742842 Joseph Q Elder Counselor 1803 North Sound Drive, Sedro Woolley, WA 98284 2019-04-16
1336610575 John Allan Roeder II Pharmacist 320 Harrison St., Sedro-woolley, WA 98284 2018-12-16
1861931107 Stacy Lee Chambers Counselor 1906 Thompson Drive, Sedro Woolley, WA 98284 2017-02-20
1033657309 Carol Totten Social Worker 1960 Thompson Dr., Sedro-woolley, WA 98284 2017-02-07
1639414345 Shannon L Moore Licensed Practical Nurse 1235 3rd Street, Sedro-woolley, WA 98284 2012-12-06
1013210111 Ashley L Shaner Physical Therapist 709 Cook Rd, Sedro Woolley, WA 98284 2010-12-10
1417195660 Susan L Pearson Massage Therapist 12263 N. Mill Street, Clearlake, WA 98284 2009-01-27
1093950883 Tamara Lyn Stone Massage Therapist 460 Hilltop Drive, Sedro Woolley, WA 98284 2008-12-08
Find all providers in zip 98284

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174138994 Matthew Thomas Schaeffer Counselor 1690 Thompson Drive, Sedro Woolley, WA 98284 2020-09-09
1780157271 Mindy Gail Hyatt Counselor 1960 Thompson Dr # Sr, Sedro Woolley, WA 98284-5007 2019-01-07
1861931107 Stacy Lee Chambers Counselor 1906 Thompson Drive, Sedro Woolley, WA 98284 2017-02-20
1457575854 Nanaymie Kasmira Godfrey Counselor 729 Bingham Place, Sedro Woolley, WA 98284-1381 2007-04-13
1477625606 Sammie Gayle Rose Counselor 25944 Community Plaza Way, Sedro Woolley, WA 98284-9721 2006-11-14
1336129295 Upper Skagit Indian Tribe Counselor 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 2006-01-18
1932700754 Alexya Sprague-johnson Counselor 1960 Thompson Dr, Sedro Woolley, WA 98284-5007 2020-11-06
1902407380 Kassandra Terwillegar Counselor 1960 Thompson Dr, Sedro Woolley, WA 98284-5007 2020-11-03
1225639578 John Paul Minor Counselor 1960 Thompson Dr, Sedro Woolley, WA 98284-5007 2020-11-03
1366041964 Angelica N Chavez Counselor 1960 Thompson Dr, Sedro Woolley, WA 98284-5007 2020-10-23
Find all providers in SEDRO WOOLLEY

Competitor

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City SEDRO WOOLLEY
Zip Code 98284

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Dataset Information

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.

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