MRS. STEPHANIE JERNIGAN SIMMONS (NPI# 1821514001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821514001 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE JERNIGAN SIMMONS |
| Other Name | STEPHANIE ANNE JERNIGAN |
| Credential | PSYD |
| Practice Address |
11937 Us Highway 271 Tyler TX 75708-3154 |
| Practice Telephone | 9038777000 |
| Mailing Telephone | 9038777000 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003385782 | Stephanie Kaye Simmons | Doula | 2541 N Terry St, Portland, OR 97217-6257 | 2018-11-25 |
| 1952642407 | Stephanie L Simmons | Registered Nurse | 1536 Bordelon Rd, Bunkie, LA 71322 | 2013-03-08 |
| 1821318007 | Stephanie Culver Simmons | Dentist | 2542 Enterprise Dr, Opelika, AL 36801-6860 | 2010-06-10 |
| 1053838425 | Stephanie Paige Simmons | Counselor | 3650 Warren Way, Reno, NV 89509-5240 | 2017-08-27 |
| 1275076275 | Stephanie Simmons | Occupational Therapy Assistant | 216 N G St, Aberdeen, WA 98520-5228 | 2016-11-22 |
| 1669840815 | Stephanie Simmons | Registered Nurse | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2015-09-04 |
| 1184058125 | Stephanie Simmons | Physical Therapist | 455 W Warren Ave, Longwood, FL 32750-4002 | 2013-08-27 |
| 1578819264 | Stephanie Simmons | Counselor | 2705 Highway 51 S, Hernando, MS 38632-2634 | 2012-07-31 |
| 1013283647 | Stephanie L Simmons | Social Worker | 339 W 2nd St, Bound Brook, NJ 08805-1833 | 2012-03-28 |
| 1225279052 | Stephanie E Simmons | Counselor | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841-4139 | 2009-03-06 |
| Street Address |
11937 US HIGHWAY 271 |
| City | TYLER |
| State | TX |
| Zip Code | 75708-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233550 | Frances L. Elizondo | Physician Assistant | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2005-05-31 |
| 1497355481 | Jessie Ann Gibson | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-28 |
| 1538767397 | Ian Joseph Gomez | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-14 |
| 1588262562 | Jamie R Antwine | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-13 |
| 1679171797 | Christian Paul Fant | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-12 |
| 1912512468 | Halle Ross-young | Psychologist | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-09-11 |
| 1093328700 | Joshua Morgan | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-08-24 |
| 1811509011 | Kavya Parasa | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-08-19 |
| 1326657792 | Pelin D Strebler | Clinical Neuropsychologist | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-07-30 |
| 1508483082 | Chi Nguyen Benson | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615699 | Aiat Radwan | Student in an Organized Health Care Education/Training Program | 11937 U Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-23 |
| 1174170781 | Sanmitha Sundaram Kota | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-08-20 |
| 1952960437 | Parashar Trivedi | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-10 |
| 1659937506 | Sandhya Devaraj | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-16 |
| 1972169381 | Mary Kaar | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| 1396301701 | Joshua Penrod | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| 1558927962 | Ijeoma Nwaigwe | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| 1487210894 | David Pollard | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| 1477119873 | Aparna Kanuparthy | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| 1275199689 | Prithvi Muddana | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| Find all providers in zip 75708 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881735025 | Jeffrey Neil Wherry | Psychologist | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048417 | Marissa L Benners | Psychologist | 3304 Colorado Blvd Ste 102, Denton, TX 76210-6872 | 2020-09-22 |
| 1235741778 | Capital Area Psychological & Evaluation Services, Pllc | Psychologist | 1715 W Fm 1626 Ste 200, Manchaca, TX 78652-3549 | 2020-08-17 |
| 1396354718 | Tarrah Mitchell | Psychologist | 3918 125th St, Lubbock, TX 79423-8906 | 2020-07-31 |
| 1861010126 | Ankita Krishnan | Psychologist | 1601 Trinity St Bldg B, Austin, TX 78712-1765 | 2020-07-13 |
| 1386285567 | Nicole Anderson | Psychologist | 17100 Glenmount Park Dr Ste C, Webster, TX 77598-4368 | 2019-09-30 |
| 1982253555 | Sarah A Koenig | Psychologist | 8500 Shoal Creek Blvd Bldg 4, Austin, TX 78757-7591 | 2019-09-06 |
| 1790341261 | Ann Caballero | Psychologist | 20333 St Hwy 249 Ste 200, Houston, TX 77070-2613 | 2019-05-10 |
| 1396231064 | Crystal Gayle | Psychologist | 3626 N Hall St Ste 550, Dallas, TX 75219-5105 | 2018-07-06 |
| 1104314533 | Kelly Nicole Banneyer | Psychologist | 6701 Fannin St Ste 1630, Houston, TX 77030-2615 | 2018-05-01 |
| 1679086615 | Houston Psychology and Wellness, Pllc | Psychologist | 1111 North Loop W Ste 820, Houston, TX 77008-4715 | 2017-11-13 |
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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.