Jason Simmons, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

214720 Issued in TX

Practice address

2100 N Hwy 360 Ste 1904
Grand Prairie, TX 75050-1040

Phone

(469) 460-7090

Fax

(469) 460-7091

NPI assigned

Mar 8, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TX Otp, LLC

  • Methadone Clinic
  • Grand Prairie, TX
  • NPI 1205582822
  NPD

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1023718020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 POST OAK DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750506567",
            "telephone_number": "940-867-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N HWY 360 STE 1904",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501040",
            "telephone_number": "469-460-7090",
            "fax_number": "469-460-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JASON",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "214720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Siddiqi
• Sameen Rab Siddiqui
• Luis Sierra-Nieves, P.A.C.
• Signage Health Care Services, Inc
• Lyvonne Greene- Simington, HCS-PROVIDER
• Simon Ogbeide D/B/a Orchard Medical Supply
• Christine Simon, DPT
• Joe Simon
• Simon'S Heart P.C.
• Simple Dentist PLLC

• Licensed Vocational Nurse in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.