Sandra Kay Simmons, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146007103 Issued in IL

Practice address

485 S Friendship Dr
Nashville, IL 62263-1363

Phone

(618) 327-4301

NPI assigned

Jun 25, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1174729339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11375 E HUTCHINSON RD",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628647889",
            "telephone_number": "618-244-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S FRIENDSHIP DR",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631363",
            "telephone_number": "618-327-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146007103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney a. Small, D.C. LTD
• Megan Rohlfing, MSCCC-SLP
• Alicia Erin Santel, FNP-C
• Sabrina Ann Schack, OD
• Mohammed Zahid Siddiqui, MD
• Savanah Sinn, PTA
• John Paul Skorczeski, DMD
• Rodney Alan Small, D.C.
• Marisa Smith, DC
• Amy Jayne Stevens, PA-C

• Speech-Language Pathologist in Nashville, IL
• Providers in Nashville, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.