Sherideth Ann Simms, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

387720 Issued in OH

Practice address

2983 Marsha LN
Dayton, OH 45417-4217

Phone

(937) 251-5373

NPI assigned

Sep 14, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1083921910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2983 MARSHA LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454174217",
            "telephone_number": "937-251-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2983 MARSHA LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454174217",
            "telephone_number": "937-251-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "SHERIDETH",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.140193",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "387720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Simmons
• Kenyona Simmons
• Latosha Simmons
• Ashley Marie Simms, OPTICIAN
• Deveon Ivory Simms Sr.
• An'Tonae Shanice Simon
• Brandon Scott Simon, DDS
• Cher M Simon, LPC
• Edrina Rochelle Simon
• Maria Cecilia Simon

• Registered Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.