AUDREY SIMS (NPI# 1619373990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619373990 |
| Entity Type | Individual |
| Full Name | AUDREY SIMS |
| Practice Address |
1061 Harmon Ave Fort Stewart GA 31314-5641 |
| Mailing Address |
162 Jay Bird Dr Glennville GA 30427-4824 |
| Practice Telephone | 9124356063 |
| Mailing Telephone | 9122372667 |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
GA | Technologists, Technicians & Other Technical Service Providers | |
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
GA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1061 HARMON AVE |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596486 | Donald E Shackleford | Obstetrics & Gynecology | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2005-05-27 |
| 1619575081 | Rudy Noel Torres Negron | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-16 |
| 1629675434 | Darryl B Moore | Counselor | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-05 |
| 1093330268 | Lesheia Tasker | Technician, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-06-12 |
| 1770111270 | Kendal Padgett | Physical Therapist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-30 |
| 1104452218 | Tiffany L Stark | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-20 |
| 1396371035 | Alicia Nichole Hasquin | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-13 |
| 1407481492 | Matthew Douglas Lueders | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1316572308 | Seth Ravid | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1487289526 | Huon Sharpe | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316340870 | Alan Jurisich | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-29 |
| 1710388731 | April Boecker | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-09 |
| 1881095891 | Libby Gardner | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-09 |
| 1134520141 | Kristy Brady | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700432267 | Amira Karriem | Radiologic Technologist | 256 Valley View Cir, Dallas, GA 30132-9806 | 2019-08-12 |
| 1902077415 | Mary Celeste Wade | Radiologic Technologist | 1029 Travelers Trl Nw, Kennesaw, GA 30144-2870 | 2008-03-12 |
| 1568655991 | Monique Fawn Towns | Radiologic Technologist | 3703 Brightwater Dr, Douglasville, GA 30135-3011 | 2007-08-20 |
| 1265639504 | Stephen Jay Tarr | Radiologic Technologist | 200 Arizona Ave Ne, Suite 200, Atlanta, GA 30307-2299 | 2007-06-29 |
| 1760527766 | Jamie S Carpenter | Radiologic Technologist | 113 Fairview Park Dr # A, Dublin, GA 31021-2501 | 2007-02-20 |
| 1801947387 | Michelle Amanda Stringfield | Radiologic Technologist | 3974 Annistown Rd Ste 304, Snellville, GA 30039-8468 | 2007-01-13 |
| 1144670340 | Zipporaha Sherette Gober | Radiologic Technologist | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2016-06-17 |
| 1619294295 | Freebie Ovwe Ukpede | Radiologic Technologist | 1365 Rock Quarry Rd, Suite 102, Stockbridge, GA 30281-5029 | 2010-04-22 |
| 1124356647 | Danielle W Snodgrass | Radiologic Technologist | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2009-11-20 |
| 1053504373 | Paula Denise Henderson | Radiologic Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2007-08-21 |
| Find all providers with the same taxonomy | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
Please comment or provide details below to improve the information on AUDREY SIMS.
| 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.