MS. TERRIKA DENE STEWART SIMMONS


Address: 4614 Country Club Rd, Winston Salem, NC 27104-3520
Phone: 3367166099

MS. TERRIKA DENE STEWART SIMMONS (NPI# 1669712840) 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) 1669712840
Entity Type Individual
Full Name MS. TERRIKA DENE STEWART SIMMONS
Other Name MS. TERRIKA DENE STEWART SIMMONS
Credential AGNP-C
Practice Address 4614 Country Club Rd
Winston Salem
NC 27104-3520
Mailing Address Po Box 602658
Charlotte
NC 28260-2658
Practice Telephone 3367166099
Mailing Telephone 3367162011
Enumeration Date 2013-02-25
Last Update Date 2016-09-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 156756 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4614 COUNTRY CLUB RD
City WINSTON SALEM
State NC
Zip Code 27104-3520

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306823547 William Y Rice IIi Internal Medicine 4614 Country Club Rd, Winston Salem, NC 27104-3520 2005-12-29
1275162299 Alexandria Jade Sutton Student in an Organized Health Care Education/Training Program 4614 Country Club Rd, Winston Salem, NC 27104-3520 2020-04-02
1619504958 Matthew Nigel Hugh Ellis Student in an Organized Health Care Education/Training Program 4614 Country Club Rd, Winston Salem, NC 27104-3520 2020-03-26
1609416932 Emily Stefano Psychologist 4614 Country Club Rd, Winston Salem, NC 27104-3520 2020-01-15
1578113486 Kayla Hansen Dietitian, Registered 4614 Country Club Rd, Winston Salem, NC 27104-3520 2019-09-13
1356867162 Michelle Faulkner Dietitian, Registered 4614 Country Club Rd, Winston Salem, NC 27104-3520 2017-08-15
1245681097 Jeanine Rivituso Kennedy Dietitian, Registered 4614 Country Club Rd, Winston Salem, NC 27104-3520 2016-06-23
1932532553 Shenelle Alyse Edwards Clinical Neuropsychologist 4614 Country Club Rd, Winston Salem, NC 27104-3520 2013-08-19
1467885244 Megan H. Ragone Social Worker 4614 Country Club Rd, Winston Salem, NC 27104-3520 2013-08-15
1144480716 Stephanie Jane Myers Internal Medicine 4614 Country Club Rd, Winston Salem, NC 27104-3520 2008-06-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447807664 Cameron Grant Ford Psychologist 614 Country Club Road, Winston-salem, NC 27104 2019-08-22
1104310374 Novant Medical Group, Inc. Internal Medicine 4937 Old Country Club Rd, Winston Salem, NC 27104 2018-06-20
1982100509 Dillon James Magalski Student in an Organized Health Care Education/Training Program Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 2018-04-03
1891290144 Breann M Poling Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 2018-03-28
1689178600 Christopher Vasil Student in an Organized Health Care Education/Training Program Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 2018-03-23
1407379126 April Lynn Lowe Registered Nurse 940 N Peace Haven Rd, Winstonsalem, NC 27104 2017-07-25
1164950804 Donald Joyce Student in an Organized Health Care Education/Training Program 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 2017-05-25
1255867289 Benjamin Hansen Pharmacist 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 2017-05-11
1770020976 Jane Reed Physical Medicine & Rehabilitation 2627 E Greenbrier Road, Winston Salem, NC 27104 2017-01-25
1053728261 Ashraf Alsaedi Pharmacist 1659 Stratford Rd Nw, Winston Salem, NC 27104 2014-07-20
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316567175 Fenny Apondi Okello Nurse Practitioner 4254 Paula Dr, Winston Salem, NC 27127-6820 2020-04-22
1659917615 Mh Medical Services, PC Nurse Practitioner 2415 S Stratford Rd Bldg 1, Winston Salem, NC 27103-6225 2019-11-25
1053957118 Mh Medical Services, PC Nurse Practitioner 950 Reynolds Blvd Bldg 611-12, Winston Salem, NC 27105-3450 2019-11-25
1548756547 Tracy Gaffney Nurse Practitioner 4134 Macarthur St, Winston Salem, NC 27107-6124 2018-07-03
1568958692 Heather Triplett Nurse Practitioner Medical Center Blvd Neurosurgery Clinic, Winston Salem, NC 27157-0001 2018-07-01
1619498987 Yolanda Enrich Nurse Practitioner 652 E Monmouth St, Winston Salem, NC 27107-3227 2017-06-27
1316483738 Julie Shaun Kozel Nurse Practitioner 656 E Monmouth St, Winston Salem, NC 27107-3227 2017-01-09
1578923199 Denise B Westendorf Nurse Practitioner 2680 Saint Johns Pl, Winston Salem, NC 27106-3830 2016-02-24
1568890705 Lourdes C Ramos Nurse Practitioner 650 Highland Ave Ste 120, Winston Salem, NC 27101-4304 2013-10-25
1063735504 Meredith Renae Clark Nurse Practitioner 605 Cotton St, Winston Salem, NC 27101-5080 2010-03-11
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Competitor

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City WINSTON SALEM
Zip Code 27104

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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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