Rebecca Jean Simmons

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

16 Mountain Park Dr
Fairmont, WV 26554-8992

Phone

(304) 816-3687

Fax

(304) 816-3737

NPI assigned

Mar 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Jean Wyckoff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1154070324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MOUNTAIN PARK DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548992",
            "telephone_number": "304-816-3687",
            "fax_number": "304-816-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MOUNTAIN PARK DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548992",
            "telephone_number": "304-816-3687",
            "fax_number": "304-816-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WYCKOFF",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Skyla Dawn Shuttlesworth
• Amanda Sigley, MSW, LGSW
• Jennifer M Sigley
• Melisa June Sigley, PHARMD, CDE
• Ashley C Simmons, PHARMD
• Brittan Simms
• Yalanda Simms
• Brittanee Shantiece Simon, M.ED
• Andrea Simons
• Christopher Ray Simons, DPT

• Home Health Aide in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Home Health Aide in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.