MRS. WYLENE B SIMMONS-ELLINGTON


Address: 2331 N State Road 7 Ste 124, Lauderdale Lakes, FL 33313-3771
Phone: 9544847698

MRS. WYLENE B SIMMONS-ELLINGTON (NPI# 1639358716) 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) 1639358716
Entity Type Individual
Full Name MRS. WYLENE B SIMMONS-ELLINGTON
Other Name MRS. WYLENE B SIMMONS
Credential LICENSED MIDWIFE
Practice Address 2331 N State Road 7 Ste 124
Lauderdale Lakes
FL 33313-3771
Practice Telephone 9544847698
Mailing Telephone 9544847698
Enumeration Date 2007-10-25
Last Update Date 2007-10-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175M00000X Midwife, Lay MW122 FL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BLUE CROSS BLUE SHEILD Y4971 01
FL 340135900 05

Office Location

Street Address 2331 N STATE ROAD 7 STE 124
City LAUDERDALE LAKES
State FL
Zip Code 33313-3771

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Taxonomy Information

Taxonomy Code 175M00000X
Grouping Other Service Providers
Classification Midwife, Lay

Taxonomy Definition

A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417293358 Rachel Baum Midwife, Lay 9401 Collins Ave Apt 405, Surfside, FL 33154-2610 2012-12-21
1629305461 Ivy Nicole Hummon Midwife, Lay 8413 Placida Rd Unit 304, Cape Haze, FL 33946-2462 2009-11-16
1285845347 Natural Birth Choices, Inc. Midwife, Lay 16604 Ne 3rd Ave, Miami, FL 33162-3506 2007-05-24
1053524892 Jelena Valmarie Kameka Midwife, Lay 4811 129 Ave N, Royal Palm Beach, FL 33411 2007-05-08
1548396484 Amy Lynn Payne Midwife, Lay 2460 N Courtenay Pkwy, Suite 206, Merritt Island, FL 32953-4101 2007-02-26
1942341862 Sharon D. Schmidt Midwife, Lay 2221 University Blvd W, Suite 5, Jacksonville, FL 32217-2041 2007-02-12
1609923440 Lisa Frances Guajardo Midwife, Lay 800 E Cypress Ln Apt 206, Pompano Beach, FL 33069-4150 2007-01-04
1548336993 Heidi Susan Dahlborg Midwife, Lay 5353 Midland Rd, Sarasota, FL 34231-6223 2006-11-28
1174693477 Diane Albright Midwife, Lay 370 Center Pointe Cir, Bld 401 Suite 1537, Altamonte Springs, FL 32701-3459 2006-11-08
1962589267 Karen Kennedy Tyus Midwife, Lay 819 W 1st St, Sanford, FL 32771-1123 2006-11-01
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Competitor

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City LAUDERDALE LAKES
Zip Code 33313

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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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