TANGULA LATRICE SIMMONS


Address: 250 Charlois Blvd, Winston Salem, NC 27103-1508
Phone: 3362772250

TANGULA LATRICE SIMMONS (NPI# 1609120690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609120690
Entity Type Individual
Full Name TANGULA LATRICE SIMMONS
Credential NP
Practice Address 250 Charlois Blvd
Winston Salem
NC 27103-1508
Mailing Address Po Box 75216
Charlotte
NC 28275-5216
Practice Telephone 3362772250
Practice Fax Number 3367189270
Mailing Telephone 3362772250
Enumeration Date 2012-10-30
Last Update Date 2020-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 5005889 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 7006403 05

Office Location

Street Address 250 CHARLOIS BLVD
City WINSTON SALEM
State NC
Zip Code 27103-1508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972503449 Ryan Angus Mcdonald Physician Assistant 250 Charlois Blvd, Winston Salem, NC 27103-1508 2005-07-27
1790266310 Ashleigh Wynne Lucas Nurse Practitioner 250 Charlois Blvd, Winston Salem, NC 27103-1508 2018-08-22
1841651841 Alexandra Gilmore Sheppard Physician Assistant 250 Charlois Blvd, Winston Salem, NC 27103-1508 2016-03-18
1922409234 Tacorya Denise Morrison Pharmacist 250 Charlois Blvd, Winston Salem, NC 27103-1508 2014-09-06
1831508860 Sarah D Pearce Pharmacist 250 Charlois Blvd, Winston Salem, NC 27103-1508 2014-08-04
1497183206 Forsyth Memorial Hospital Inc Internal Medicine 250 Charlois Blvd, Winston Salem, NC 27103-1508 2013-10-15
1265868764 Forsyth Memorial Hospital, Inc Internal Medicine 250 Charlois Blvd, Winston Salem, NC 27103-1508 2013-09-17
1083055396 Phillip A Kelley Physician Assistant 250 Charlois Blvd, Winston Salem, NC 27103-1508 2013-07-15
1427493980 Marian Virginia Hazy Nurse Practitioner 250 Charlois Blvd, Winston Salem, NC 27103-1508 2013-05-09
1770868317 Mildred Ann Underwood Pharmacist 250 Charlois Blvd, Winston Salem, NC 27103-1508 2011-10-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124648126 Kelly Anne Wales Pharmacist 3917-a Westpoint Boulevard, Winston-salem, NC 27103 2020-04-20
1386281533 Elena Mcginty Nurse Practitioner 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 2019-12-06
1992359442 Madeline Pryor Pharmacist 255 Charlois Drive, Winston Salem, NC 27103 2019-08-01
1215599584 Palmetto Oxygen LLC Durable Medical Equipment & Medical Supplies 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 2019-07-07
1548734718 Trivy Johnson Specialist 1384-b Westgate Center Dr., Winston Salem, NC 27103 2019-01-21
1447745047 Novant Health Rehabilitation Hospital of Winston-salem, LLC Rehabilitation Hospital 2475 Hillcrest Center Circle, Winston Salem, NC 27103 2018-06-26
1346740206 Joseph Miller Physical Therapist 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 2018-02-17
1548779101 Kristin Blow Counselor 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 2017-09-27
1891213443 Alisha Dawn Wilson Occupational Therapy Assistant 2101 Homestead Hills Drive, Winston Salem, NC 27103 2017-09-05
1588186969 Brandy Wilson Social Worker 153 Cameron Way Circle, Winston Salem, NC 27103 2017-07-07
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316567175 Fenny Apondi Okello Nurse Practitioner 4254 Paula Dr, Winston Salem, NC 27127-6820 2020-04-22
1659917615 Mh Medical Services, PC Nurse Practitioner 2415 S Stratford Rd Bldg 1, Winston Salem, NC 27103-6225 2019-11-25
1053957118 Mh Medical Services, PC Nurse Practitioner 950 Reynolds Blvd Bldg 611-12, Winston Salem, NC 27105-3450 2019-11-25
1548756547 Tracy Gaffney Nurse Practitioner 4134 Macarthur St, Winston Salem, NC 27107-6124 2018-07-03
1568958692 Heather Triplett Nurse Practitioner Medical Center Blvd Neurosurgery Clinic, Winston Salem, NC 27157-0001 2018-07-01
1619498987 Yolanda Enrich Nurse Practitioner 652 E Monmouth St, Winston Salem, NC 27107-3227 2017-06-27
1316483738 Julie Shaun Kozel Nurse Practitioner 656 E Monmouth St, Winston Salem, NC 27107-3227 2017-01-09
1578923199 Denise B Westendorf Nurse Practitioner 2680 Saint Johns Pl, Winston Salem, NC 27106-3830 2016-02-24
1568890705 Lourdes C Ramos Nurse Practitioner 650 Highland Ave Ste 120, Winston Salem, NC 27101-4304 2013-10-25
1063735504 Meredith Renae Clark Nurse Practitioner 605 Cotton St, Winston Salem, NC 27101-5080 2010-03-11
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Competitor

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City WINSTON SALEM
Zip Code 27103

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Dataset Information

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.

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