MICHELLE SIMMONS (NPI# 1447644349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447644349 |
| Entity Type | Individual |
| Full Name | MICHELLE SIMMONS |
| Practice Address |
10373 Ne Hancock St Ste 200 Portland OR 97220-3873 |
| Mailing Address |
14802 Ne 117th Circle Vancouver WA 98682-2191 |
| Practice Telephone | 5032536754 |
| Practice Fax Number | 5032538020 |
| Mailing Telephone | (360) 931-1373 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 163W00000X | Registered Nurse | RN00158264 | WA | Nursing Service Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN00158264 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
201706909NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10417 Ne 89th St, Vancouver, WA 986622191 | 3609311373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980900 | Michelle Simmons | Technician | 1008 Greene Gables Ct, Ridgeley, WV 26753-7390 | 2020-10-20 |
| 1306215660 | Michelle Simmons | Nurse Practitioner | 5124 Grampian Way, Mckinney, TX 75071-6474 | 2015-09-16 |
| 1629360813 | Michelle Simmons | Registered Nurse | 1124 Baker Ave, Gwynn Oak, MD 21207-4718 | 2011-05-06 |
| 1417197898 | Michelle Christine Simmons | Counselor | 123 E Powell Blvd Ste 303, Gresham, OR 97030-7620 | 2009-02-25 |
| 1619124666 | Michelle Marie Simmons | Developmental Therapist | 915 Prescott Dr, Joliet, IL 60432-0723 | 2008-08-21 |
| 1942375142 | Michelle Renee Simmons | Counselor | 3280 Downing St, Suite A, Denver, CO 80205-3994 | 2006-11-22 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| 1083175152 | Michelle B Simmons | Behavior Technician | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2019-03-29 |
| 1497090351 | Michelle Simmons | Physician Assistant | 6311 S Pointe Blvd, Suite 400, Fort Myers, FL 33919-4901 | 2012-12-04 |
| 1316136021 | Michelle Simmons | Occupational Therapist | 10101 Ne 120th St, Kirkland, WA 98034-6622 | 2007-10-18 |
| Street Address |
10373 NE HANCOCK ST STE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-3873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457366957 | Ellen Gale Madnick | Internal Medicine | 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 | 2006-07-31 |
| 1538780523 | Neyma E Oditt | Registered Nurse | 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 | 2020-04-30 |
| 1619501988 | Jennifer L Montpetit | Counselor | 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 | 2020-02-26 |
| 1023655545 | Cynthia Rosaura Vides-guerra | Case Manager/Care Coordinator | 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 | 2019-12-03 |
| 1831732015 | Aaron James Kinyon | Counselor | 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 | 2019-10-21 |
| 1316465438 | Candyce Monteleone | Counselor | 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 | 2017-09-08 |
| 1306205729 | Tamika Tyrell Motton | Counselor | 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 | 2016-02-12 |
| 1720481633 | Valerie Garst | Counselor | 10373 Ne Hancock St Ste 200, Portland, OR 97220 | 2014-10-06 |
| 1669814711 | Katharine Mary Elena Frissora | Nurse Practitioner | 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 | 2013-07-17 |
| 1003175332 | Evelyn Reese Acopan | Counselor | 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 | 2012-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920148 | Hardcore Happy LLC | Nurse Practitioner | 740 Ne 116th Ct, Portland, OR 97220-2223 | 2020-10-20 |
| 1457967325 | Megan L Langworthy | Nurse Practitioner | 1914 Se 46th Ave, Portland, OR 97215-3148 | 2020-09-16 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1730712290 | Lucy Anne Bloedon | Nurse Practitioner | 4020 Sw Iowa St, Portland, OR 97221-3423 | 2020-02-12 |
| 1346802733 | Compass Psychiatric Wellness LLC | Nurse Practitioner | 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 | 2019-07-05 |
| 1548721871 | Cooke Therapy Pllc | Nurse Practitioner | 1125 Se Madison St Ste 102, Portland, OR 97214-3600 | 2019-03-28 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1467969220 | Nw Mind-body Wellness, LLC | Nurse Practitioner | 16986 Nw Lynch Ln, Portland, OR 97229-1221 | 2018-01-02 |
| 1811441348 | Anthony Hoy | Nurse Practitioner | 5562 Se Pine St, Portland, OR 97215-1276 | 2016-08-12 |
| 1700241254 | Jacqueline J Cole | Nurse Practitioner | 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 | 2015-12-29 |
| Find all providers in PORTLAND | ||||
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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.