AMANDA RENAE SIMMONS


Address: 1541 Kings Hwy, Shreveport, LA 71103-4228
Phone: 3186260000

AMANDA RENAE SIMMONS (NPI# 1629683230) 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) 1629683230
Entity Type Individual
Full Name AMANDA RENAE SIMMONS
Credential PA-C
Practice Address 1541 Kings Hwy
Shreveport
LA 71103-4228
Mailing Address 318 Ace St
Haughton
LA 71037-8774
Practice Telephone 3186260000
Mailing Telephone 3184230251
Enumeration Date 2020-09-10
Last Update Date 2020-09-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
324297 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA PHYSICIAN ASSISTANT LICENSURE 324297 01

Other Providers AMANDA SIMMONS

NPI Name Taxonomy Address Enumeration
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
1578987764 Amanda Nicole Simmons Psychologist 7487 S State Road 121, Macclenny, FL 32063-5451 2014-02-10
1700013315 Amanda Corrine Simmons Obstetrics & Gynecology 10004 Kennerly Rd, Ste 395b, Saint Louis, MO 63128-2141 2009-06-22

Office Location

Street Address 1541 KINGS HWY
City SHREVEPORT
State LA
Zip Code 71103-4228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912909912 Brfhh Shreveport LLC General Acute Care Hospital 1541 Kings Hwy, Shreveport, LA 71103-4228 2005-08-10
1851991947 Gina Marie Kristiansen Nurse Practitioner 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-10-28
1376142893 Candice Crow Internal Medicine 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-10-26
1518574441 Jadebrey Vyshette Kennon Nurse Practitioner 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-09-24
1255945382 Frank James List Pharmacy Technician 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-09-05
1700496312 Caroline Leigh Harris Physician Assistant 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-08-07
1740899400 Brittany Allyson Bozzell Physician Assistant 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-07-29
1386253169 Kristyn Turner Pharmacist 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-07-28
1508481722 Alexandra Blair Lemaire Physician Assistant 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-06-12
1508481953 Amy Deneal Lewing Nurse Practitioner 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1336568823 Taylor Jieun Jung Student in an Organized Health Care Education/Training Program Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 2014-04-10
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790228013 Brian Keith Fontenot Physician Assistant 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 2016-11-18
1831412626 Christopher Micheal Magill Physician Assistant 2551 Greenwood Rd Ste 210, Shreveport, LA 71103-3985 2010-03-08
1851401426 Teresa Bigler Physician Assistant 1606 Kings Hwy, Shreveport, LA 71103-4128 2006-08-30
1730118365 Tina Faith Gentry Physician Assistant 7925 Youree Dr Suite 280b, Shreveport, LA 71105-5538 2006-07-03
1487616538 David Stanley Staton Physician Assistant Overton Brooks Vamc, 510 East Stoner Ave, Shreveport, LA 71101 2006-04-04
1114924404 Mary Mcferren Physician Assistant 1455 E Bert Kouns Industrial Loop # 200, Shreveport, LA 71105 2005-07-01
1487252029 Melissa Raney Physician Assistant 2709 Mackey Ln, Shreveport, LA 71118-2556 2020-10-15
1700496312 Caroline Leigh Harris Physician Assistant 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-08-07
1811459449 Lyndsey Pate Day Physician Assistant 1541 Kings Hwy, Shreveport, LA 71103-4228 2019-04-02
1497139695 Amanda Barnes Physician Assistant 7045 Youree Dr, Shreveport, LA 71105-5108 2015-07-17
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71103

Improve Information

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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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