Quanika Shuntaaye Simpson-Jackson, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

51627-AO-0 Issued in NV

Practice address

202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677

Phone

(602) 698-8261

NPI assigned

Sep 11, 2018

Last updated

Jul 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reflection Health Services L.L.C.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1134680820
  NPD Authorized official

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1114400637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 300-28",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153210",
            "telephone_number": "602-698-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR STE 360",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122677",
            "telephone_number": "602-698-8261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Pinto Ln",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064019",
            "country_code": "US",
            "telephone_number": "702-417-4702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5060 N 19th Ave Ste 300-28",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850153210",
            "country_code": "US",
            "telephone_number": "602-698-8261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON-JACKSON",
        "first_name": "QUANIKA",
        "middle_name": "SHUNTAAYE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NV",
            "license": "51627-AO-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8389PCS0",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simply in Demand Chiropractic LLC
• Simply Molli Aesthetics LLC
• Simply Psychology LLC
• Simplyrn LLC
• Walkennia Elaine Simpson-Earl
• Alyssa Simpson, RDN, CGN, CLT
• Brian Simpson
• Charrid Simpson
• Dana Simpson, OTR/L
• Kendra L Simpson, LCSW, LISAC

• Emergency Medical Services (Emergency Medicine) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.