MS. ANNETTE SUSAN SIMMONS I (NPI# 1417359159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417359159 |
| Entity Type | Individual |
| Full Name | MS. ANNETTE SUSAN SIMMONS I |
| Credential | MFTI |
| Practice Address |
350 E Gobbi St Ukiah CA 95482-5511 |
| Mailing Address |
350 E Gobbi Street Ukiah CA 95482 |
| Practice Telephone | 7074672010 |
| Practice Fax Number | 7074626994 |
| Mailing Telephone | 7074672010 |
| Mailing Fax Number | 7074626994 |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2017-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | IMF78196 | CA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | NPI 1417359159 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518425081 | Annette Simmons | Custodial Care Facility | 1292 Dorchester St, Port Charlotte, FL 33954 | 2019-03-04 |
| 1487074928 | Annette Rae Simmons | Occupational Therapy Assistant | 305 Mckinley Ave Nw, Canton, OH 44702-1717 | 2014-04-23 |
| 1598914459 | Annette M. Simmons | Counselor | 514 S 13th St, Tacoma, WA 98402-1908 | 2008-09-16 |
| Street Address |
350 E GOBBI ST |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-5511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831241058 | Zoy Kazan | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2007-01-17 |
| 1205455169 | Lyndsi K Massey | Case Manager/Care Coordinator | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2020-04-10 |
| 1285253310 | Noelani R Borecky | Case Manager/Care Coordinator | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2020-04-09 |
| 1740798859 | James Mockel | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2018-01-11 |
| 1972022416 | Taryn Soto | Counselor | 350 E Gobbi St, Ukiah, CA 95482 | 2017-09-15 |
| 1396264958 | Veronica Nunez | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2017-09-14 |
| 1801318159 | Derek Palestrini | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2017-07-07 |
| 1528593639 | Katrina Fowles | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2017-04-26 |
| 1053850503 | Jessea Lee-elrod | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2017-02-16 |
| 1386183820 | Jasmin Mendoza | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2017-02-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497157135 | Michael Shepard | Point of Service | 564 S Dora St, Suite D, Ukiah, CA 95482-5486 | 2014-09-25 |
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| 1710508585 | Toxicity Assessors Global of Pennsylvania LLC | Point of Service | 1430 5th St Apt 505, Santa Monica, CA 90401-4421 | 2020-05-02 |
| 1710525092 | Rex Ross Bennett Jr. | Point of Service | 22687 E Cliff Dr, Santa Cruz, CA 95062-5357 | 2019-12-17 |
| 1508401985 | Live Leveled Family Therapy, Inc | Point of Service | 809 Quarry Rd Apt B, San Francisco, CA 94129-1150 | 2019-11-09 |
| 1558906982 | Session Sync, Inc. | Point of Service | 44262 Marcelina Court, Temecula, CA 92592 | 2019-11-08 |
| 1629622063 | Rose Woo Psychologists Inc | Point of Service | 16 S Oakland Ave Ste 214, Pasadena, CA 91101-2042 | 2019-07-24 |
| 1770136426 | Hmk Medical Transportation | Point of Service | 267 Aldama Ave, Pomona, CA 91767-1749 | 2019-07-22 |
| 1427516681 | Klifford T Kapus Dds., Msd A Dental Corporation | Point of Service | 4200 East Ave Ste 100, Livermore, CA 94550-4945 | 2019-03-06 |
| 1821553850 | Reginald Washington | Point of Service | 2733 Lemon Grove Ave, Lemon Grove, CA 91945-2938 | 2019-02-04 |
| 1417432246 | Access Multilingual Services, Inc. | Point of Service | 11041 Santa Monica Blvd, #813, Los Angeles, CA 90025-3523 | 2018-09-27 |
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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.