CARLA JAI SIMMONS


Address: 1300 Bragg Blvd Ste 1318, Fayetteville, NC 28301-4296
Phone: 9108242339

CARLA JAI SIMMONS (NPI# 1699286260) 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) 1699286260
Entity Type Individual
Full Name CARLA JAI SIMMONS
Practice Address 1300 Bragg Blvd Ste 1318
Fayetteville
NC 28301-4296
Practice Telephone 9108242339
Mailing Telephone 9108242339
Enumeration Date 2017-10-23
Last Update Date 2017-10-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist C85570 NC Other Service Providers

Other Providers CARLA SIMMONS

NPI Name Taxonomy Address Enumeration
1780817536 Carla J Simmons Registered Nurse 6 Mathis Dr Nw, Rome, GA 30165-1242 2009-08-27
1679582191 Carla Gail Simmons Physician Assistant 8220 Walnut Hill Ln, 700, Dallas, TX 75231-4427 2006-08-05

Office Location

Street Address 1300 BRAGG BLVD STE 1318
City FAYETTEVILLE
State NC
Zip Code 28301-4296

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134726219 Jenna Michelle Odneal Behavior Technician 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 2020-10-02
1790390094 Jessica Shellman Counselor 408 Person St. Ste 103, Fayetteville, NC 28301 2020-09-14
1487205951 Martha K Richardson Technician 720 Teachers Dr, Fayetteville, NC 28301 2019-09-25
1013568161 Angela Rena Locklear Counselor 211 Lamon St, Fayeteville, NC 28301 2019-09-20
1619535747 Teresa Wilson Contractor 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 2019-06-04
1912461815 Catherine Stevenson Nwogalanya Community Health Worker 1103 Hillsboro St., Fayetteville, NC 28301 2019-01-24
1811443187 Michael Carroll Counselor 308 Peterson Place, Fayetteville, NC 28301 2016-08-28
1023499886 Latifa Fedai Nurse Practitioner 380 Person Street, Fayettevill, NC 28301 2015-06-17
1265868939 Aci Support Specialists Community/Behavioral Health 1725 Venna Drive, Fayetteville, NC 28301 2013-09-25
1871929547 Aci Support Specialists Day Training, Developmentally Disabled Services 2820 Copenhagen Drive, Fayetteville, NC 28301 2013-09-25
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235777558 Washington Regional Medical System Specialist 3264 N North Hills Blvd, Fayetteville, AR 72703 2019-12-17
1962062240 Shenika Twanet Judd Specialist 724 N Reilly Rd Ste C, Fayetteville, NC 28303-6042 2019-06-18
1033676358 Suzanne Lynn Washburn Specialist 307 Barcelona Drive 26e, Fayetteville, NC 28303-5768 2019-02-22
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1194203075 Dominique A Hunter Specialist 100 Hay St Fl 6, Fayetteville, NC 28301-5676 2018-08-01
1952825838 Mary L Hill Specialist 185 Thornton Dr., Fayetteville, GA 30214 2017-08-01
1295288215 Jillian Diffenbaugh Specialist 1019 Hay St, Fayetteville, NC 28305-5315 2016-07-26
1437534633 Mark Hinton Specialist 131 Barnhill Arena Office, Office 116a, Fayetteville, AR 72701 2015-07-29
1841600830 Trimana LLC Specialist 2875 E Joyce Blvd, Fayetteville, AR 72703-4524 2014-04-30
1750706388 Tbs Therapy Services, Inc. Specialist 1161 W Huntington Dr, Fayetteville, AR 72701-2957 2014-02-18
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Competitor

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City FAYETTEVILLE
Zip Code 28301

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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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