Jolene Simmons

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

200930298LPN Issued in OR

Practice address

755 NE Circle Blvd Unit 30
Corvallis, OR 97330-4261

Phone

(541) 754-7302

Fax

(541) 754-7302

NPI assigned

May 28, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jolene Kirland Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1023497633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 NE CIRCLE BLVD SPACE 30",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97330",
            "telephone_number": "541-754-7302",
            "fax_number": "541-754-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NE CIRCLE BLVD UNIT 30",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304261",
            "telephone_number": "541-754-7302",
            "fax_number": "541-754-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JOLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "200930298LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLENE",
            "last_name": "KIRLAND",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Drew Silverman, MS, QMHP-C, CADC III
• Jordan Sim
• Madison Sim
• Willow Magick Simer
• Roxane F Simi
• Kayla M Simmons
• Desiree Mia Simon
• Kelly Morgan Simone, MBBS
• Megan Elizabeth Simonetti-Eng, PHD
• Jessica Simoni, PCA

• Licensed Practical Nurse in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.