MRS. JENNIFER JANE LEE SIMON (NPI# 1992161772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992161772 |
Entity Type | Individual |
Full Name | MRS. JENNIFER JANE LEE SIMON |
Credential | APRN |
Practice Address |
500 W Broadway St Ste 310 Missoula MT 59802-4003 |
Practice Telephone | 4065462042 |
Practice Fax Number | 4063292799 |
Mailing Telephone | 4065462042 |
Mailing Fax Number | 4063292799 |
Enumeration Date | 2016-01-08 |
Last Update Date | 2016-01-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NUR-APRN-LIC-101 | MT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538725007 | Jennifer Simon | Speech-Language Pathologist | 2601 Bransford Ave # 5455524, Nashville, TN 37204-2811 | 2019-05-10 |
1093187486 | Jennifer Simon | Social Worker | 2940 Summit St Ste 2c, Oakland, CA 94609-3416 | 2015-10-23 |
1396163127 | Jennifer Simon | Registered Nurse | 11 Juniper Pl, Huntington, NY 11743-4324 | 2014-03-29 |
1689938839 | Jennifer Simon | Specialist | 30 Ehrbar Ave, Apt. 507, Mount Vernon, NY 10552-3663 | 2012-07-02 |
1194012401 | Jennifer Simon | Optometrist | 3935 Lake Michigan Dr Nw Ste 3, Grand Rapids, MI 49534-7844 | 2011-07-07 |
1548804081 | Jennifer A Simon | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2019-10-28 |
1508383043 | Jennifer Simon | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-25 |
1962835462 | Jennifer Simon | Counselor | 541 Main St, Weymouth, MA 02190-1868 | 2013-08-20 |
1033557913 | Jennifer L Simon | Pharmacist | 2300 Maccorkle Ave Se, Charleston, WV 25304-1045 | 2013-06-12 |
1952693889 | Jennifer J Simon | Behavioral Analyst | 500 E Colonial Dr, Orlando, FL 32803-4504 | 2011-05-11 |
Street Address |
500 W BROADWAY ST STE 310 |
City | MISSOULA |
State | MT |
Zip Code | 59802-4003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
Find all providers in zip 59802 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730656299 | Brandi Roman Glibbery | Nurse Practitioner | 4109 Barbara Ln, Missoula, MT 59803-1114 | 2018-11-01 |
1326526948 | Ruth Elizabeth King | Nurse Practitioner | 6114 Helena Dr, Missoula, MT 59803-2706 | 2018-08-06 |
1205313590 | Michelle Weaver Knowles | Nurse Practitioner | 2825 Fort Missoula Rd Ste 113, Missoula, MT 59804-7403 | 2018-07-19 |
1467995928 | Sarah Slater | Nurse Practitioner | 1101 S 3rd St W Ste 101, Missoula, MT 59801-2321 | 2016-11-30 |
1427489822 | Katrina Lin Brucker | Nurse Practitioner | 902 N Orange St Ste 202, Missoula, MT 59802-2928 | 2013-12-10 |
1659704526 | Heidi Efinger | Nurse Practitioner | 2340 Mullan Rd, Missoula, MT 59808-1830 | 2013-08-15 |
1427301589 | Adeline May Wakeman | Nurse Practitioner | 728 Monroe St, Apt. A, Missoula, MT 59802-3716 | 2012-10-25 |
1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
1780946764 | Ka Moua | Nurse Practitioner | 2685 Palmer St Ste D, Missoula, MT 59808-1709 | 2012-06-14 |
1083921233 | Sally Rebecca Baskett | Nurse Practitioner | 702 Sw Higgins Ave, Missoula, MT 59803-1429 | 2010-09-09 |
Find all providers in MISSOULA |
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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.