Active NPI
Kiara Simmons
- Athletic Trainer
- North Charleston, SC
National Provider Identifier
1174108591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 6081
- Practice address
- Mary Ford Early Learning and Family Center
3180 Thomasina McPherson Blvd
North Charleston, SC 29405-2940 - Phone
- (843) 746-7131
- NPI assigned
- Mar 17, 2021
- Sex
- Female
- 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 | 6081 | SC | Primary |
Addresses
Primary practice location
Mary Ford Early Learning and Family Center
3180 Thomasina McPherson Blvd
North Charleston, SC 29405-2940
Mailing address
Mary Ford Early Learning and Family Center
3180 Thomasina McPherson Boulevard
North Charleston, SC 29405
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6081 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1174108591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MARY FORD EARLY LEARNING AND FAMILY CENTER",
"address_2": "3180 THOMASINA MCPHERSON BOULEVARD",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "29405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARY FORD EARLY LEARNING AND FAMILY CENTER",
"address_2": "3180 THOMASINA MCPHERSON BLVD",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294052940",
"telephone_number": "843-746-7131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "KIARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-17",
"last_updated": "2021-03-17",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "6081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.