DR. AMANDA NICOLE SIMMONS (NPI# 1578987764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578987764 |
| Entity Type | Individual |
| Full Name | DR. AMANDA NICOLE SIMMONS |
| Practice Address |
7487 S State Road 121 Macclenny FL 32063-5451 |
| Practice Telephone | 9042596211 |
| Mailing Telephone | 9042596211 |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY8741 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683230 | Amanda Renae Simmons | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-10 |
| 1164070975 | Amanda R Simmons | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2019-08-27 |
| 1386129096 | Amanda Simmons | Occupational Therapist | 1920 Thoreau Dr N Ste 180, Schaumburg, IL 60173-4151 | 2018-09-27 |
| 1396234043 | Amanda Dimasi Simmons | Nurse Practitioner | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2018-05-08 |
| 1912448648 | Amanda Simmons | Occupational Therapist | 405 8th St Ne, Washington, DC 20002-5227 | 2017-03-14 |
| 1033577374 | Amanda Simmons | Specialist | 3890 Jenks Ave, Lynn Haven, FL 32444-4701 | 2016-02-01 |
| 1407225675 | Amanda Rose Simmons | Counselor | 2450 S Vine St, Denver, CO 80210-5264 | 2015-09-17 |
| 1487047858 | Amanda Simmons | Acupuncturist | 366 Us Route 1, Falmouth, ME 04105-1371 | 2015-03-10 |
| 1235533019 | Amanda Simmons | Occupational Therapist | 5728 Moon Flower Ct, Fort Worth, TX 76244-5189 | 2014-10-22 |
| 1700013315 | Amanda Corrine Simmons | Obstetrics & Gynecology | 10004 Kennerly Rd, Ste 395b, Saint Louis, MO 63128-2141 | 2009-06-22 |
| Street Address |
7487 S STATE ROAD 121 |
| City | MACCLENNY |
| State | FL |
| Zip Code | 32063-5451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538108410 | Muhammad Asghar Ali Shah | Psychiatry & Neurology | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2006-06-06 |
| 1073126140 | Felix Alexander Soleh | Nurse Practitioner | 7487 S State Road 121, Macclenny, FL 32063-5480 | 2020-08-28 |
| 1275152480 | Amy Michelle Harvey | Nurse Practitioner | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2020-04-09 |
| 1033625991 | Dustin Williams | Nurse Practitioner | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2017-12-14 |
| 1144605148 | Merredith Oakes | Nurse Practitioner | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2015-07-21 |
| 1811242514 | Olga Ines Arias | Psychiatry & Neurology | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2012-07-18 |
| 1427358787 | Aron Croslin Bell | Counselor | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2010-11-02 |
| 1629227442 | Department of Children & Familes | Pharmacy | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2008-09-17 |
| 1538329719 | Toribio M Duhaylungsod | Psychiatry & Neurology | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2008-06-11 |
| 1417126699 | Lara Miriam Greenwald | Dentist | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2008-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1285175091 | Katie Rourke | Massage Therapist | 6068 -1 Larimer Rd, Macclenny, FL 32063 | 2017-03-13 |
| 1174734073 | Jane Ellen Echterling | Psychologist | Northeast Florida State Hospital, 7487 S. State Road 121, Macclenny, FL 32063 | 2007-05-24 |
| 1992879886 | Baker County Schools | Local Education Agency (LEA) | 290 Jonathan St E, Macclenny, FL 32063 | 2006-11-20 |
| 1306918271 | Baker County School Board | Local Education Agency (LEA) | 290 Jonathan Street East, Macclenny, FL 32063 | 2006-11-15 |
| 1780760967 | Patricia Ann Sova | Pharmacist | 1436 Sw 6th St, Winn Dixie #0144, Macclenny, FL 32063 | 2006-10-31 |
| 1447347992 | Annie Clara Widemond | Pharmacy Technician | 1436 State Road 121 South, Macclenny, FL 32063 | 2006-10-06 |
| 1003900713 | Luna S. Iskander | Psychiatry & Neurology | 7487 South State Road 121, Macclenny, FL 32063 | 2006-10-03 |
| 1558456103 | Cam Hoang | Family Medicine | 7487 South State Road 171, Macclenny, FL 32063 | 2006-10-03 |
| 1245323492 | Raynors Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 698 F W Macclenny Ave, Ste F, Macclenny, FL 32063 | 2006-10-02 |
| Find all providers in zip 32063 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174734073 | Jane Ellen Echterling | Psychologist | Northeast Florida State Hospital, 7487 S. State Road 121, Macclenny, FL 32063 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1922607381 | Michelle Mcnally | Psychologist | 6945 Halton Park Ln, Coconut Creek, FL 33073-2170 | 2020-10-18 |
| 1427665322 | Salubrious Psychological Services | Psychologist | 865 Nw 208th Cir, Pembroke Pines, FL 33029-1908 | 2020-09-25 |
| 1396351979 | Daniela Oliveira De Medeiros | Psychologist | 111 Majorca Ave # B, Coral Gables, FL 33134-4508 | 2020-09-19 |
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1265047047 | Anissa York | Psychologist | 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 | 2020-09-09 |
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1801413315 | Steven David Macchione | Psychologist | 328 Nw 97th Ave, Plantation, FL 33324-7068 | 2020-06-30 |
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. AMANDA NICOLE SIMMONS.
| 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.