MR. THEODORE SIMMONS III (NPI# 1982155586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982155586 |
| Entity Type | Individual |
| Full Name | MR. THEODORE SIMMONS III |
| Practice Address |
6889 S Eastern Ave Las Vegas NV 89119-4687 |
| Practice Telephone | 7024341200 |
| Mailing Telephone | 7024341200 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811307648 | Theodore Erik Simmons | Pharmacist | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2014-05-01 |
| Street Address |
6889 S EASTERN AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-4687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922140433 | Brian Joseph Bauduin | Psychologist | 6889 S Eastern Ave, Las Vegas, NV 89119-4687 | 2007-02-12 |
| 1558867382 | Alexandra R Cohen | Rehabilitation Practitioner | 6889 S Eastern Ave, Las Vegas, NV 89119-4687 | 2018-04-02 |
| 1164920526 | Kristi Alexander | Rehabilitation Practitioner | 6889 S Eastern Ave, Las Vegas, NV 89119-4687 | 2018-01-31 |
| 1770020802 | Katrina Rose Soderlund-pavon | Rehabilitation Practitioner | 6889 S Eastern Ave, Las Vegas, NV 89119-4687 | 2017-01-26 |
| 1407303829 | Jenise Gloria Gutierrez | Rehabilitation Practitioner | 6889 S Eastern Ave, Las Vegas, NV 89119-4687 | 2016-09-01 |
| 1316390016 | Julia Yesenia Martinez | Rehabilitation Practitioner | 6889 S Eastern Ave, Las Vegas, NV 89119-4687 | 2016-07-18 |
| 1124478045 | Kelye Loree Scarborough | Rehabilitation Practitioner | 6889 S Eastern Ave, Las Vegas, NV 89119-4687 | 2016-06-22 |
| 1285084749 | Nedka Klimas | Rehabilitation Practitioner | 6889 S Eastern Ave, Las Vegas, NV 89119-4687 | 2016-06-15 |
| 1548620065 | Hunter Cole Franklin | Rehabilitation Practitioner | 6889 S Eastern Ave, Las Vegas, NV 89119-4687 | 2016-02-25 |
| 1104285915 | Hannah Goodman | Marriage & Family Therapist | 6889 S Eastern Ave, Las Vegas, NV 89119-4687 | 2016-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656438 | Brittney Mary Sobwick | Rehabilitation Practitioner | 8360 W Sahara Ave Ste 230, Las Vegas, NV 89117-8945 | 2020-10-12 |
| 1184234544 | Karina Mandello | Rehabilitation Practitioner | 8250 N Grand Canyon Dr Unit 2121, Las Vegas, NV 89166-3734 | 2020-07-31 |
| 1730797408 | Jeffrey Michael Stovall | Rehabilitation Practitioner | 7037 Fort Union Ct, Las Vegas, NV 89179-1206 | 2020-07-20 |
| 1194333716 | Francisco Javier Robles | Rehabilitation Practitioner | 2810 W Charleston Blvd Ste H77, Las Vegas, NV 89102-1921 | 2020-07-20 |
| 1073121836 | Genna Villanueva | Rehabilitation Practitioner | 6612 Sand Bench Ave, Las Vegas, NV 89130-4801 | 2020-07-17 |
| 1861000895 | Carolyn Mccrae | Rehabilitation Practitioner | 11245 Vintners Ln, Las Vegas, NV 89138-1503 | 2020-07-15 |
| 1871119404 | Andrew Hunt | Rehabilitation Practitioner | 9557 Green Spruce St, Las Vegas, NV 89123-3573 | 2020-06-19 |
| 1861018566 | Tshawnalyn Alize Nicole Puryear | Rehabilitation Practitioner | 6300 W Tropicana Ave Trlr 159, Las Vegas, NV 89103-4422 | 2020-06-19 |
| 1962024661 | Ernestina Huerta | Rehabilitation Practitioner | 6933 Cobblestone Ave, Las Vegas, NV 89145-5349 | 2020-05-15 |
| 1538789102 | Thomas Putnam | Rehabilitation Practitioner | 7824 Nesting Pine Pl, Las Vegas, NV 89143-4468 | 2020-04-23 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on MR. THEODORE SIMMONS III.
| 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.