Dr. Charisse Symmonds, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DR. CHARISSE SYMMONDS, LLC

Practice address

1211 Stanton St
Emporia, KS 66801-6158

Phone

(620) 208-9888

Fax

(207) 202-3058

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Charisse Symmonds, DONPI 1366675910

Title

Owner

Phone

(620) 208-9888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charisse Nicole Symmonds, DO

  • Internal Medicine Physician
  • Emporia, KS
  • NPI 1366675910
  Medicare reassignment NPD Authorized official
• Rachel Wilson, APRN

  • Family Nurse Practitioner
  • Emporia, KS
  • NPI 1609257708
  NPD
• Amanda Dawn Schubert, LPN

  • Licensed Practical Nurse
  • Emporia, KS
  • NPI 1063338754
  NPD (past)

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1023798089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 STANTON ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668016158",
            "telephone_number": "620-208-9888",
            "fax_number": "207-202-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 STANTON ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668016158",
            "telephone_number": "620-208-9888",
            "fax_number": "207-202-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CHARISSE SYMMONDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "SYMMONDS",
        "authorized_official_first_name": "CHARISSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-208-9888",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Ann Doleman, DNP, FNP-C
• Dorsey Surgical Associates,P.a
• Crista Cay Dorsey, P.T.
• Patricia A. Dorsey, O.D.
• Douglas Chiropractic, PA
• Teresa A Driver, P.T.
• DRS Price Young Odle & Horsch PA (The EyeDoctors)
• DRS Price Young Odle & Horsch PA (The EyeDoctors)
• Shalynn Rachelle Duke, TLPC
• Callie Duncan, RN, IBCLC

• Clinic/Center in Emporia, KS
• Providers in Emporia, KS by specialty
• Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.