Active NPI
Johnnie Mae Simmons
- Pediatric Skilled Nursing Facility
- Milwaukee, WI
National Provider Identifier
1023367612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- License
- 167452
- Legal business name
- JOHNNIE MAE SIMMONS
- Practice address
- 4560 N. 40TH St,
Milwaukee, WI 53209 - Phone
- (414) 510-4893
- NPI assigned
- Aug 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Johnnie Mae Simmons, REGISTERED NURSING
- Title
- Register Nursing
- Phone
- (414) 510-4893
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | 167452 | WI | Primary |
Addresses
Primary practice location
4560 N. 40TH St,
Milwaukee, WI 53209
Mailing address
4560 N. 40TH St,
Milwaukee, WI 53209
Phone (414) 510-4893
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Milwaukee, WI
- NPI 1184853012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346198400000",
"number": "1023367612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 N. 40TH ST,",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53209",
"telephone_number": "414-510-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 N. 40TH ST,",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53209",
"telephone_number": "414-510-4893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNNIE MAE SIMMONS",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "JOHNNIE MAE",
"authorized_official_title_or_position": "REGISTER NURSING",
"authorized_official_telephone_number": "414-510-4893",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "REGISTERED NURSING"
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "WI",
"license": "167452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.