JESSICA DIANA SIMMONS (NPI# 1962981613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962981613 |
| Entity Type | Individual |
| Full Name | JESSICA DIANA SIMMONS |
| Practice Address |
4024 Amboy Rd Staten Island NY 10308-2409 |
| Practice Telephone | 7189849022 |
| Mailing Telephone | 7189849022 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675356 | Jessica Simmons | Home Health Aide | 1825 Darst Ave, Dayton, OH 45403-3105 | 2020-03-27 |
| 1467986505 | Jessica Lively Simmons | Occupational Therapist | 9535 Brooks Mill Rd, Wirtz, VA 24184-4627 | 2017-04-15 |
| 1538538079 | Jessica Simmons | Nurse Practitioner | 1415 E State St Ste 101, Rockford, IL 61104-2300 | 2015-09-15 |
| 1497007512 | Jessica Lynn Simmons | Counselor | 414 Margaret Dr, Norman, OK 73069-5323 | 2012-10-12 |
| 1871826347 | Jessica Ann Simmons | Specialist | 27204 208th Ave Se, Maple Valley, WA 98038-3101 | 2009-09-15 |
| 1184224552 | Jessica Simmons | Pharmacist | 4820 S Clark St, Mexico, MO 65265-4111 | 2020-10-27 |
| 1649838376 | Jessica Ann Simmons | Physician Assistant | 4186 Cortland Dr, New Paris, PA 15554-7706 | 2019-05-29 |
| 1952816571 | Jessica Elaine Simmons | Speech-Language Pathologist | 4601 67th Ave Se, Olympia, WA 98513-4902 | 2017-12-05 |
| 1215483912 | Jessica Lynn Simmons | Counselor | 2121 Main St, Suite, 100, Dallas, TX 75201-4366 | 2016-09-01 |
| 1669863577 | Jessica Simmons | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2015-02-13 |
| Street Address |
4024 AMBOY RD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10308-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912216615 | Angela Maria Rivera | Speech-Language Pathologist | 4024 Amboy Rd, Staten Island, NY 10308-2409 | 2010-09-28 |
| 1215410378 | Stephanie Genco | Specialist | 4024 Amboy Rd, Staten Island, NY 10308-2409 | 2018-09-13 |
| 1710465455 | Marina Guirguis | Psychologist | 4024 Amboy Rd, Staten Island, NY 10308-2409 | 2018-08-03 |
| 1740775758 | Dina Cottone | Psychologist | 4024 Amboy Rd, Staten Island, NY 10308-2409 | 2018-06-22 |
| 1417441031 | Danielle Maria Martino | Speech-Language Pathologist | 4024 Amboy Rd, Staten Island, NY 10308-2409 | 2018-06-18 |
| 1427564426 | Julie Kristin Palaganas | Behavior Technician | 4024 Amboy Rd, Staten Island, NY 10308-2409 | 2017-12-28 |
| 1407362429 | Briana Marie Strazza | Behavior Technician | 4024 Amboy Rd, Staten Island, NY 10308-2409 | 2017-12-28 |
| 1992215990 | Diana Lynn Diehl | Case Manager/Care Coordinator | 4024 Amboy Rd, Staten Island, NY 10308-2409 | 2017-10-04 |
| 1003337239 | Filana Guelfenboim | Psychologist | 4024 Amboy Rd, Staten Island, NY 10308-2409 | 2017-06-28 |
| 1831619006 | Alan Castillo | Case Manager/Care Coordinator | 4024 Amboy Rd, Staten Island, NY 10308-2409 | 2017-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410117 | Young Minds Early Enrichment | Early Intervention Provider Agency | 143 Wiman Avenue, Staten Island, NY 10308 | 2019-10-29 |
| 1346619483 | Babymedevac, Inc. | Ambulance | 150 L Greaves Lane, Suite 142, Staten Island, NY 10308 | 2015-09-18 |
| 1497179527 | Advanced Life Care Planning LLC | Home Health | 255 Katan Ave., Score Rehab, Staten Island, NY 10308 | 2014-02-10 |
| 1255777009 | Laura Marie De La Cruz | Specialist | 132 Sandalwood Dr, Staten Island, NY 10308 | 2013-05-21 |
| 1205179363 | Danielle Gorga | Registered Nurse | 68 Harbour Court, Staten Island, NY 10308 | 2013-03-27 |
| 1427307388 | Maria Madelyn Sylvester | Specialist | 4024 Amboy Road, Staten Island, NY 10308 | 2012-09-06 |
| 1679836241 | Concetta Maria Falzone | Specialist | 51 Margaret Street, Staten Island, NY 10308 | 2012-06-19 |
| 1972865392 | Michael D. Desarlo | Specialist | 175 Sandalwood Drive, Staten Island, NY 10308 | 2012-06-12 |
| 1881991867 | Markella Zannikos | Speech-Language Pathologist | 423 Corbin Avenue, Staten Island, NY 10308 | 2011-02-28 |
| 1013227800 | Therapy Link PC | Community/Behavioral Health | 3936 Amboy Road, Staten Island, NY 10308 | 2010-10-14 |
| Find all providers in zip 10308 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797091 | Yuliya Levakova | Case Manager/Care Coordinator | 146 Macfarland Ave, Staten Island, NY 10305-4448 | 2020-10-10 |
| 1215553987 | Rachel Marita Hurley | Case Manager/Care Coordinator | 777 Seaview Ave # Bulding9, Staten Island, NY 10305-3409 | 2020-06-18 |
| 1154953958 | Pak Ling Cheung | Case Manager/Care Coordinator | 165 Alter Ave, Staten Island, NY 10304-3923 | 2020-02-10 |
| 1487297362 | Queen Monique Simmons | Case Manager/Care Coordinator | 777 Seaview Ave Bldg 9, Staten Island, NY 10305-3409 | 2019-10-23 |
| 1033770219 | Jazmin Diaz | Case Manager/Care Coordinator | 226 Netherland Ave, Staten Island, NY 10303-2211 | 2019-06-27 |
| 1114584620 | Keishla Marie Davila | Case Manager/Care Coordinator | 385 Oakdale St, Staten Island, NY 10312-5041 | 2019-05-21 |
| 1558841387 | Kristin Michele Cartusciello | Case Manager/Care Coordinator | 358 Saint Marks Pl Fl 3, Staten Island, NY 10301-2417 | 2018-08-21 |
| 1164900346 | Nicole Lynette Fenton | Case Manager/Care Coordinator | 135 Corson Ave, Staten Island, NY 10301-2933 | 2018-07-31 |
| 1124519285 | Sherry Snyder | Case Manager/Care Coordinator | 2707 Hylan Blvd, Staten Island, NY 10306-4657 | 2018-05-24 |
| 1306352042 | Chanel Pranckevicus | Case Manager/Care Coordinator | 29 Warren St Apt 8k, Staten Island, NY 10304-2537 | 2017-12-18 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10308 |
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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.