KRISHADA SIMMONS (NPI# 1538725577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538725577 |
Entity Type | Individual |
Full Name | KRISHADA SIMMONS |
Practice Address |
19919 Grandview St Detroit MI 48219-1003 |
Practice Telephone | 3134631810 |
Mailing Telephone | 3134631810 |
Enumeration Date | 2019-05-15 |
Last Update Date | 2019-05-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
MI | Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 802297125 | 05 |
Street Address |
19919 GRANDVIEW ST |
City | DETROIT |
State | MI |
Zip Code | 48219-1003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
Find all providers in zip 48219 |
Taxonomy Code | 246RP1900X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Pathology |
Specialization | Phlebotomy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801402235 | Mobile Blood Work Services L.L.C. | Technician, Pathology | 16884 Greenview Ave, Detroit, MI 48219-4154 | 2020-09-21 |
1760936942 | Renee Smith | Technician, Pathology | 18603 Blackmoor St, Detroit, MI 48234-3719 | 2016-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689228207 | April Marie Alvarez | Technician, Pathology | 6136 Hugh St, Burton, MI 48509-1668 | 2019-07-31 |
1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
1407319395 | Mobile Phlebotomy of Central Michigan | Technician, Pathology | 22040 Gratiot Rd, Merrill, MI 48637-8707 | 2019-04-09 |
1588196885 | Sheaun D Paramedical Services LLC | Technician, Pathology | 22013 Boulder Ave, Eastpointe, MI 48021-2303 | 2017-03-28 |
1154868644 | Tanya Stovall | Technician, Pathology | 23330 Oak Glen Dr, Southfield, MI 48033-3491 | 2017-01-23 |
1841734191 | Krista Ziegler | Technician, Pathology | 1555 Townline Hwy, Adrian, MI 49921 | 2016-12-06 |
1952855215 | Robinson Mobile Phlebotomy | Technician, Pathology | 32455 W 12 Mile Rd, Farmington Hills, MI 48333-9991 | 2016-08-04 |
1881055259 | Sarah Robinson | Technician, Pathology | 1900 E Broadway St, Mount Pleasant, MI 48858-2950 | 2016-03-14 |
1922490416 | Miranda Davis | Technician, Pathology | 42383 Garfield Rd Unit 381286, Clinton Township, MI 48038-7742 | 2015-02-20 |
1740679380 | Windell Dwayne Ford | Technician, Pathology | 26150 5 Mile Rd Ste 31, Redford, MI 48239-3240 | 2015-01-20 |
Find all providers with the same taxonomy |
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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.