ANGELA A SIMMONS-BUTLER (NPI# 1124285432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124285432 |
| Entity Type | Individual |
| Full Name | ANGELA A SIMMONS-BUTLER |
| Credential | FNP C |
| Practice Address |
105 N Main St Cleveland GA 30528-1123 |
| Mailing Address |
Po Box 459 Colbert GA 30628-0459 |
| Practice Telephone | 7069697510 |
| Mailing Telephone | 7067883234 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2016-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN123336 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | ANCC CERTIFICATION | 037461522 | 01 |
| Street Address |
105 N MAIN ST |
| City | CLEVELAND |
| State | GA |
| Zip Code | 30528-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922444207 | Kelly Powe Garrard | Physical Therapist | 105 N Main St, Ste C, Cleveland, GA 30528-1123 | 2013-05-14 |
| 1255671335 | Stephen Richard Kritikos | Physical Therapist | 105 N Main St, Ste C, Cleveland, GA 30528-1123 | 2013-02-26 |
| 1316101983 | Tiffany Mcconahay Tacto | Physical Therapist | 105 N Main St, Ste C, Cleveland, GA 30528-1123 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780154914 | Syah, LLC | Internal Medicine | 142 Parkway Plaza, Cleveland, GA 30528 | 2018-11-30 |
| 1528478328 | Cleveland Drug Co Inc | Pharmacy | 184 West Kytle Street, Suite A, Cleveland, GA 30528 | 2014-05-01 |
| 1467738377 | Dr. Don Robbins Inc. | Optometrist | 514 West Kytle St., Cleveland, GA 30528 | 2011-10-25 |
| 1902080138 | Dr. Don Robbins Inc | Optometrist | 514 W Kytle St., Cleveland, GA 30528 | 2007-12-24 |
| 1013101617 | Abbastar, Inc | Chiropractor | 783 S. Main St., Suite 10, Cleveland, GA 30528 | 2007-08-28 |
| 1023210044 | Peachtree Pharmacy Services | Pharmacist | 1018 South Main Str, Hwy 129 Suite A, Cleveland, GA 30528 | 2007-06-01 |
| 1285767053 | The Hospital Authority of Habersham County | Family Medicine | 17 White Street, Cleveland, GA 30528 | 2007-03-13 |
| 1568591113 | Clare Stinespring | Physical Therapist | 34 Courthouse Square, Cleveland, GA 30528 | 2007-03-02 |
| 1811038359 | Joanne Holt Edmondson | Counselor | 42 North Avenue Suite 100, Cleveland, GA 30528 | 2007-02-09 |
| 1700931037 | Associates of Family Dentistry | Dentist | 549 South Main St, Cleveland, GA 30528 | 2007-01-25 |
| Find all providers in zip 30528 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
| 1508464132 | Molly Kane Kane Elek | Nurse Practitioner | 17801 Susan Ave, Cleveland, OH 44111-4148 | 2020-10-15 |
| 1619583424 | Paulina Kauzljar | Nurse Practitioner | 11100 Euclid Ave # 1635, Cleveland, OH 44106-1716 | 2020-09-17 |
| 1508479379 | April Danielle Daniel | Nurse Practitioner | 200 E Boothe St Ste 100, Cleveland, TX 77327-4063 | 2020-08-31 |
| 1730792037 | Jalayn Konys | Nurse Practitioner | 3653 W 159th St, Cleveland, OH 44111-5704 | 2020-08-26 |
| 1962014142 | Cassie Ann Williams | Nurse Practitioner | 470 8th St Nw, Cleveland, TN 37311-1811 | 2020-08-19 |
| 1417565912 | Jenae Camille Hennessey | Nurse Practitioner | 3278 Lakewood Dr Nw, Cleveland, TN 37312-2093 | 2020-07-21 |
| 1851918841 | Leslie Torchick Casteel | Nurse Practitioner | 2305 Chambliss Ave Nw Ste 101, Cleveland, TN 37311-3847 | 2020-06-25 |
| 1306462478 | Brooke Denise Booher | Nurse Practitioner | 611 Bell Rd Se, Cleveland, TN 37323-9003 | 2020-06-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| Find all providers in CLEVELAND | ||||
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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.