KELLI J SIMMONS (NPI# 1336186048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336186048 |
| Entity Type | Individual |
| Full Name | KELLI J SIMMONS |
| Credential | APRN |
| Practice Address |
420 Delaware Street Southeast Mayo Mail Code 450 Minneapolis MN 55455 |
| Mailing Address |
1570 Eustis St Apartment 133 Lauderdale MN 55108-1260 |
| Practice Telephone | 6126265919 |
| Practice Fax Number | 6126254406 |
| Mailing Telephone | 6516460172 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
093545 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
R183718-8 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 427483300 | 05 | |
| MO | RR MEDICARE | P00104707 | 01 |
| Street Address |
420 DELAWARE STREET SOUTHEAST MAYO MAIL CODE 450 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626532 | Jennifer Anne Hagen | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Southeast, Mmc 395, Minneapolis, MN 55455 | 2018-04-23 |
| 1760860654 | Emily Gladstone | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Southeast, Mmc297, Minneapolis, MN 55455 | 2015-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710312087 | Denise Casamento Musser | Clinical Nurse Specialist | 424 Harvard St Se, Minneapolis, MN 55455-0362 | 2013-09-05 |
| 1780017020 | Yeewan Sum Kao | Clinical Nurse Specialist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2013-08-09 |
| 1881932267 | Autumn Gode | Clinical Nurse Specialist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2013-01-20 |
| 1477836054 | Sean Patrick Murray | Clinical Nurse Specialist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2011-09-21 |
| 1447566963 | Christie Lee Frid | Clinical Nurse Specialist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2010-08-21 |
| 1508098864 | Melinda Marie Hansen | Clinical Nurse Specialist | 2450 Riverside Ave, 6aw Palliative Care Team, Minneapolis, MN 55454-1450 | 2009-08-19 |
| 1629208079 | Jessica Jo Hampton | Clinical Nurse Specialist | 516 Delaware St Se, Clinic 6a, Minneapolis, MN 55455-0356 | 2009-07-20 |
| 1710156781 | Teri E. Kast | Clinical Nurse Specialist | 420 Delaware St Se, Mmc 200, Minneapolis, MN 55455-0341 | 2008-02-25 |
| 1770766651 | Elizabeth Jane Merkle | Clinical Nurse Specialist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2007-12-13 |
| 1528241726 | Margaret Anne Bebler | Clinical Nurse Specialist | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2007-12-11 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on KELLI J SIMMONS.
| 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.