SHENA SIMMONS


Address: 2232 Warfield Way Unit D, San Jose, CA 95122-3645
Phone: 4158670432

SHENA SIMMONS (NPI# 1235772526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235772526
Entity Type Individual
Full Name SHENA SIMMONS
Credential HAIR REPLACEMENT SPE
Practice Address 2232 Warfield Way Unit D
San Jose
CA 95122-3645
Practice Telephone 4158670432
Mailing Telephone 4158670432
Enumeration Date 2019-10-20
Last Update Date 2019-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
Other Service Providers

Office Location

Street Address 2232 WARFIELD WAY UNIT D
City SAN JOSE
State CA
Zip Code 95122-3645

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1497113153 Jamealle Spain Case Manager/Care Coordinator 2070 Lucretia Ave #310, San Jose, CA 95122 2016-02-09
1770915035 Thinh Tran Dentist 919 Story Rd Unit 1128, San Jose, CA 95122 2013-08-08
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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1790242980 Bobbie Nicole Grant Specialist 2757 White Acres Dr, San Jose, CA 95148-3692 2019-02-25
1255847653 Sharelle Nicole Loudd Specialist 1186 S 2nd St, San Jose, CA 95112-5914 2017-12-20
1366813578 Vanda Clarece Mccauley Specialist 5377 Glenburry Way, San Jose, CA 95123-1321 2015-10-14
1710097613 Raymond Rudolph Rendon Specialist 2039 Forest Ave Ste 206, San Jose, CA 95128-4815 2006-08-30
1952817272 Beautique Salon Specialist 1186 S 2nd St, San Jose, CA 95112-5914 2017-12-22

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NPI Name Taxonomy Address Enumeration
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1497365597 Jannise Booker Specialist 1327 Chestnut St # 5, San Francisco, CA 94123-3105 2020-08-04
1962010678 Latoya Morris Specialist 901 Sara Ct Apt 132, Vacaville, CA 95687-6267 2020-07-20
1023633997 Okemasherron Hayes Specialist 13724 Burbank Blvd, Sherman Oaks, CA 91401-5039 2020-06-16
1578186870 Joanne Elaine Washington Specialist 1219 W Imperial Hwy Ste 100, Brea, CA 92821-3736 2020-05-20
1851926877 Ashley Johnson Specialist 29851 Peppercorn Cir, Menifee, CA 92584-7270 2020-03-10
1700421633 Jennifer Knox Specialist 2356 Hampton Ave, Simi Valley, CA 93063-5055 2019-11-14
1669037750 Jovann T Jones Specialist 1260 Fillmore St, San Francisco, CA 94115-4111 2019-05-05
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Competitor

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City SAN JOSE
Zip Code 95122

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Dataset Information

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.

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