IMMANUEL IMAN SIMMONS (NPI# 1578177242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578177242 |
| Entity Type | Individual |
| Full Name | IMMANUEL IMAN SIMMONS |
| Practice Address |
2195 E 53rd St Davenport IA 52807-2705 |
| Mailing Address |
4853 Wooddale Dr Davenport IA 52806-2968 |
| Practice Telephone | 5633249169 |
| Practice Fax Number | 5633242437 |
| Mailing Telephone | 9018343866 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2195 E 53RD ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864269 | Angela Snyder Therapy, Plc | Counselor | 1027 N Marquette St, Davenport, IA 52804-3761 | 2020-08-31 |
| 1255944526 | Laura K Heffernan | Counselor | 372 Arbor Lakes Dr, Davenport, FL 33896-8170 | 2020-08-26 |
| 1073130217 | Maritza Paula | Counselor | 164 Oxford Rd, Davenport, FL 33896-8891 | 2020-07-04 |
| 1952925992 | Jan Dumond LLC | Counselor | 4620 E 53rd St Ste 264, Davenport, IA 52807-3627 | 2020-06-05 |
| 1144875220 | Wags for Wellness LLC | Counselor | 601 Brady St Ste 206, Davenport, IA 52803-5251 | 2019-08-06 |
| 1306300223 | Wellness First Counseling | Counselor | 1706 Brady St Ste 200, Davenport, IA 52803-4708 | 2019-01-24 |
| 1366939142 | Quill Counseling Plc | Counselor | 1820 E 54th St Ste A, Davenport, IA 52807-2797 | 2018-04-17 |
| 1932609070 | Samantha J Swanson | Counselor | 7307 Pacific St, Davenport, IA 52806-1250 | 2018-02-15 |
| 1578071213 | Jennifer Mejia | Counselor | 8020 Tuscany Way, Davenport, FL 33896-5444 | 2018-01-16 |
| 1366959470 | Kandis Rose Paskell | Counselor | 547 Morgan Street, Davenport, WA 99122 | 2018-01-10 |
| Find all providers in DAVENPORT | ||||
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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.