DR. KAMI SIMMONS (NPI# 1518486018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518486018 |
| Entity Type | Individual |
| Full Name | DR. KAMI SIMMONS |
| Credential | NP |
| Practice Address |
9245 Quantrelle Ave Ne Otsego MN 55330-0168 |
| Mailing Address |
1900 Silver Lake Rd Nw New Brighton MN 55112-1786 |
| Practice Telephone | 7637469492 |
| Practice Fax Number | 7637463685 |
| Mailing Telephone | 6516289566 |
| Mailing Fax Number | 6516280411 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6295 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
9309830 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1048342 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
10886 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
7236 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11201 N Tatum Blvd # 300-131, Phoenix, AZ 850286036 | 8884325558 |
| Street Address |
9245 QUANTRELLE AVE NE |
| City | OTSEGO |
| State | MN |
| Zip Code | 55330-0168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912973892 | Linnea A Ritter | Nurse Practitioner | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2006-02-28 |
| 1780281295 | Holly J Oachs | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-10-07 |
| 1881219632 | Kathryn Hartman Valine | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-06-08 |
| 1932722592 | Lily Rose Larson | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-05-18 |
| 1033739495 | Heather Jo Voss | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-04-25 |
| 1487287264 | Julie Elizabeth Lindenfelser | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-02-19 |
| 1447882832 | Laurel Anae Kimpton | Psychologist | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-02-04 |
| 1659910594 | Alissa Christenson | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-12-23 |
| 1053959171 | Kevin Alan Augustin | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-12-19 |
| 1336791995 | Melissa Lou Nikovics | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
| 1649839986 | Jodi Marie Pikula | Massage Therapist | 710 Dodge Ave, Suite C, Elk River, MN 55330 | 2019-06-11 |
| 1144793878 | Northern Cities Therapy, Inc. | Counselor | 19230 Evans St Nw Ste 100, Elk River, MN 55330 | 2019-01-04 |
| 1144715236 | Jennifer Kay Dahlseid | Chiropractor | 200 5th St Nw Ste J, Elk River, MN 55330 | 2018-06-29 |
| 1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
| 1134674237 | Rescare Minnesota | Community Based Residential Treatment Facility, Mental Illness | 633 Upland Ave Nw, Elk River, MN 55330 | 2016-08-18 |
| 1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
| 1447615141 | Laura Stevenson | Speech-Language Pathologist | 15990 90th St., Otsego, MN 55330 | 2015-12-22 |
| Find all providers in zip 55330 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
| 1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
| 1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
| 1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
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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.