ANGEL A SIMMONS (NPI# 1952930778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952930778 |
| Entity Type | Individual |
| Full Name | ANGEL A SIMMONS |
| Practice Address |
11503 Sunrise Valley Dr Reston VA 20191-1505 |
| Mailing Address |
5125 Delta St North Charleston SC 29406-6350 |
| Practice Telephone | 7038603200 |
| Mailing Telephone | 8433439991 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | DH12296 | GA | Dental Providers |
| N | 124Q00000X | Dental Hygienist | 3999 | SC | Dental Providers |
| Y | 124Q00000X | Dental Hygienist | 0402207342 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550759 | Angel Simmons | Counselor | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-08-25 |
| 1841473063 | Angel Novel Simmons | Optometrist | 7840 Natural Bridge Rd, Patient Care Center, Saint Louis, MO 63121-4617 | 2007-12-11 |
| Street Address |
11503 SUNRISE VALLEY DR |
| City | RESTON |
| State | VA |
| Zip Code | 20191-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043273394 | Joseph Edward Rusz Jr. | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-04-08 |
| 1386255073 | Faranak Mahjour | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2020-08-14 |
| 1932272671 | Robert M Averne | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191 | 2006-11-17 |
| 1255403283 | Zachary A Casagrande | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-11-14 |
| 1245302272 | Haress Rahim | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-11-14 |
| 1720158975 | Kathleen G Dillon | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191 | 2006-11-08 |
| 1922181742 | Mark Richard Perez | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191 | 2006-10-23 |
| 1972697043 | Wayne Joseph Dollard | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-10-03 |
| 1295741411 | Scott Arthur Synnott | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-07-31 |
| 1487679338 | Matthew John Gramkee | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629104823 | Barbara Swavely | Dental Hygienist | 11864 Sunrise Valley Dr, Reston, VA 20191-3310 | 2007-02-24 |
| 1134292543 | Laura Lee Birks | Dental Hygienist | 1712 Clubhouse Rd 106, Dr Zacko & Assoc, Reston, VA 20190 | 2006-11-15 |
| 1699848002 | Brett Zacko Gurley | Dental Hygienist | 1712 Clubhouse Rd, Zacko and Assoc, Reston, VA 20190 | 2006-11-15 |
| 1730252156 | Mary Jane Catherine Korrigan | Dental Hygienist | 1712 Clubhouse Rd, Suite 106, Reston, VA 20190 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767520 | Cassandra Elizabeth Knowles | Dental Hygienist | 3626 Poplar Ridge Dr, Gloucester, VA 23061-3267 | 2020-10-13 |
| 1669081089 | Kelly Davis | Dental Hygienist | 741 Crystal Ln, Strasburg, VA 22657-2373 | 2020-07-31 |
| 1184240848 | Masih Safi | Dental Hygienist | 3005 Marisa Ct, Woodbridge, VA 22192-3919 | 2020-06-18 |
| 1144845470 | Gwendilynn Thu Duong | Dental Hygienist | 6707 Old Dominion Dr Ste 240, Mc Lean, VA 22101-4503 | 2020-06-12 |
| 1144857434 | Roshani Patel | Dental Hygienist | 3951 Kathryn Jean Ct, Fairfax, VA 22033-2743 | 2020-03-25 |
| 1679105936 | Erica Cavaluzzi | Dental Hygienist | 13532 Mallard Watch Way, Clifton, VA 20124-0920 | 2020-02-05 |
| 1982250759 | Natalie Marie Campbell | Dental Hygienist | 5979 Emory Blvd, Fort Belvoir, VA 22060-3236 | 2019-08-16 |
| 1487214201 | Annmarie Mcbride | Dental Hygienist | 4701 Franconia Rd, Alexandria, VA 22310-1908 | 2019-06-14 |
| 1912565599 | Lilia Vaughan | Dental Hygienist | 2300 Vantage Dr Apt 3051, Woodbridge, VA 22191-4170 | 2019-05-30 |
| 1346805876 | Jodie Pointer Myers | Dental Hygienist | 10845 Timber Rd, South Prince George, VA 23805-7508 | 2019-05-09 |
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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.