Anita Joyce Simmons, APN, CNS
Individual provider Active NPI Adult Health Clinical Nurse Specialist · Kensett, AR
NPI 1083709802 · NPPES record last updated Aug 30, 2016
Key facts
- NPI
- 1083709802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Clinical Nurse Specialist 364SA2200X
- License
- S01126 CNS (AR)
- Practice address
- 606 W Wilbur Mills Ave
Kensett, AR 72082-9051 - Phone
- (501) 742-5697
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S01126 CNS | AR | MD | Adult Health Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | S01126 CNS | AR | Yes |
Addresses
Primary practice location
606 W Wilbur Mills Ave
Kensett, AR 72082-9051
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213493758 | Medicaid | AR |
Other providers in Kensett, AR
- Larry R Killough
- Aspen Brooke Mattson
- Dani Moore
- Jesse Daniel Moore
- Alexis Elizabeth Ruiz-Hamilton
- Jessica Marie Simon
- Rachel Still
- Tanya Webb
- White River Rural Health Center Inc
- Laura Beth Whited
All providers in Kensett, AR · Adult Health Clinical Nurse Specialist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.