KEVIN D SIMMONS (NPI# 1720558307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720558307 |
| Entity Type | Individual |
| Full Name | KEVIN D SIMMONS |
| Credential | QP |
| Practice Address |
1822 Nc Hwy 54 Suite 300 Durham NC 27713 |
| Practice Telephone | 9194746400 |
| Mailing Telephone | 9194746400 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | TAX ID | 58-1716970 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703596 | Kevin Lee Simmons | Peer Specialist | 10700 S Choctaw Rd, Newalla, OK 74857-7962 | 2020-06-07 |
| 1255479887 | Kevin James Simmons | Psychiatry & Neurology | 3777 Sienna Pkwy, Missouri City, TX 77459-6015 | 2007-02-03 |
| 1407101892 | Kevin Michael Simmons | Optometrist | 14645 Bel Red Rd, Building E, Ste 102, Bellevue, WA 98007-3929 | 2012-07-20 |
| 1497068035 | Kevin Simmons | Nurse Anesthetist, Certified Registered | 601 E Rollins St, Orlando, FL 32803-1248 | 2010-07-26 |
| 1144433749 | Kevin Robert Simmons | Pharmacist | 752 Route 202, Rindge, NH 03461 | 2007-05-08 |
| 1639180433 | Kevin Stewart Simmons | Anesthesiology | 1304 Oak St, Melbourne, FL 32901-3111 | 2006-08-10 |
| Street Address |
1822 NC HWY 54 SUITE 300 |
| City | DURHAM |
| State | NC |
| Zip Code | 27713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| 1396237566 | Sarah Elizabeth Beatty | Physician Assistant | 1317 Southpoint Crossing Dr, Durham, NC 27713 | 2018-06-04 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971315 | Danielle Cullen | Counselor | 839 Onslow St, Durham, NC 27705-4244 | 2020-10-30 |
| 1255930269 | Meredith M Dangel | Counselor | 5015 Southpark Dr Ste 240, Durham, NC 27713-7736 | 2020-10-21 |
| 1699380899 | Angela Teal | Counselor | 314 Hardwick Dr, Durham, NC 27713-7602 | 2020-09-14 |
| 1245841386 | Elana Baumann-carbrey | Counselor | 606 W Markham Ave # Rs, Durham, NC 27701-1618 | 2020-08-12 |
| 1225646433 | Jasmine Reese | Counselor | 4625 Hope Valley Rd Apt A, Durham, NC 27707-6609 | 2020-07-14 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1508499815 | Abigail Garabrant | Counselor | 43 Kimberly Dr, Durham, NC 27707-5418 | 2020-02-14 |
| 1093347023 | Chancie Chaney | Counselor | 4 Boxwood Dr, Durham, NC 27713-9383 | 2020-02-07 |
| 1669004628 | Kira Danielle Parris-moore | Counselor | 525 Crossview Ln, Durham, NC 27703-6729 | 2020-02-07 |
| 1346872645 | Karen Lynn Moen | Counselor | 4600 University Dr Apt 1212, Durham, NC 27707-6121 | 2020-02-05 |
| Find all providers in DURHAM | ||||
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| 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.