Johnnie Mae Simmons, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

167452-030 Issued in WI

Practice address

4560 N 40TH St
Milwaukee, WI 53209-5808

Phone

(414) 449-2132

NPI assigned

Jul 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Johnnie Mae Simmons

  • Pediatric Skilled Nursing Facility
  • Milwaukee, WI
  • NPI 1023367612
  NPD (past) Authorized official
• Amity Health Services

  • Personal Care Attendant
  • Milwaukee, WI
  • NPI 1225638794
  NPD

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1184853012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 N 40TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095808",
            "telephone_number": "414-449-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 N 40TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095808",
            "telephone_number": "414-449-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JOHNNIE MAE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "167452-030",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "303888-031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany I Simmons, FNP
• Bryan J Simmons, MD
• Camina Simmons
• Iyana Simmons
• John D. Simmons, M.D.
• Kellie Marie Simmons, MSW, CAPSW
• Lashonda Nicole Simmons
• Teresina P Simmons, RN
• Antaijah Simon
• Carmen Simon, MSW, APSW

• Registered Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.