Active NPI
Eric James Simmons, MS, ATC, CSCS, CWCHP
- Athletic Trainer
- Hartland, MI
National Provider Identifier
1154393064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601000024
- Practice address
- 10860 Highland Rd
Hartland, MI 48353-2629 - Phone
- (810) 632-1000
- Fax
- (810) 632-1001
- NPI assigned
- Feb 3, 2006
- Last updated
- Oct 31, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601000024 | MI | Primary |
Addresses
Primary practice location
10860 Highland Rd
Hartland, MI 48353-2629
Mailing address
8959 Giovanni CT
Howell, MI 48855-6304
Phone (810) 588-2261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601000024 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509408000000",
"number": "1154393064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8959 GIOVANNI CT",
"city": "HOWELL",
"state": "MI",
"postal_code": "488556304",
"telephone_number": "810-588-2261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10860 HIGHLAND RD",
"city": "HARTLAND",
"state": "MI",
"postal_code": "483532629",
"telephone_number": "810-632-1000",
"fax_number": "810-632-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "ERIC",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "MS, ATC, CSCS, CWCHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2017-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601000024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.