SHAWN DEMETRIUS SIMMONS JR. (NPI# 1548718026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548718026 |
| Entity Type | Individual |
| Full Name | SHAWN DEMETRIUS SIMMONS JR. |
| Practice Address |
118 E 8th St Port Angeles WA 98362 |
| Mailing Address |
118 E 8th St Port Angeles WA 98362-6129 |
| Practice Telephone | 3604570431 |
| Practice Fax Number | 3604570493 |
| Mailing Telephone | 3604570431 |
| Mailing Fax Number | 3604570493 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10001 Grand Ave, Franklin Park, IL 601312563 | 8474515339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104030675 | Shawn Patrick Simmons | Physical Therapist | 451 W Locke St, Ashdown, AR 71822-3325 | 2007-05-10 |
| 1033105168 | Shawn T Simmons | Anesthesiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-09-23 |
| Street Address |
118 E 8TH ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942270459 | Jennifer Ruth Trefonas | Counselor | 118 E 8th St, Port Angeles, WA 98362-6129 | 2006-01-25 |
| 1790386712 | Anna Alicia Davis | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-11-05 |
| 1669071916 | Emmett Joseph Browning | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-10-19 |
| 1508463050 | Geraldine Miles Stockmann | Case Manager/Care Coordinator | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-10-07 |
| 1972110443 | Mark Thomas Fredson | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-28 |
| 1194331595 | Sylvia Rose Church | Case Manager/Care Coordinator | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-21 |
| 1881200749 | Annie Rae Guthrie | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-16 |
| 1356956379 | Jessica Rochel Garcia | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-15 |
| 1245845668 | Nevaeh Jade Selvidge | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-11 |
| 1114532959 | Hilary Jade Clark | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407313059 | Christina Chadick | Counselor | 243511 Hwy 101 W., Port Angeles, WA 98363 | 2019-03-01 |
| 1235604943 | Tait Enis Gray | Counselor | 104 N Laurel St Ste 104, Port Angeles, WA 98362-2637 | 2018-10-09 |
| 1487154183 | Tiffany Lovell | Counselor | 1820 Melody Ln, Port Angeles, WA 98362-4942 | 2018-02-19 |
| 1508364878 | Lorena Bess | Counselor | 405 S Peabody St, Port Angeles, WA 98362-3230 | 2018-01-31 |
| 1346795564 | Wuanita Maria Carroll | Counselor | 118 E 8th St Ste 2, Port Angeles, WA 98362-6129 | 2016-08-17 |
| 1104291186 | Matthew R Willms | Counselor | 327 E 11th St, Port Angeles, WA 98362-7931 | 2015-12-02 |
| 1245674829 | Laura J Havens | Counselor | 104 North Laurel St Suite 114, Port Angeles, WA 98362 | 2013-04-25 |
| 1033431010 | Jean Leslie Kruger | Counselor | 3080 Lower Elwha Road, Port Angeles, WA 98363 | 2010-02-18 |
| 1306097449 | Sydney Upham Soelter | Counselor | 104 N Laurel St Ste 114, Port Angeles, WA 98362-2637 | 2008-10-07 |
| 1205965688 | Kathy Frantz | Counselor | 3430 E Highway 101, # 9, Port Angeles, WA 98362-9068 | 2007-03-03 |
| Find all providers in PORT ANGELES | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
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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.