Active NPI
Tamiquia Simon, ED.D
- Health Educator
- Pamplico, SC
National Provider Identifier
1225412844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 928 Hillside Dr
Pamplico, SC 29583-6810 - Phone
- (843) 616-4225
- NPI assigned
- Jul 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
928 Hillside Dr
Pamplico, SC 29583-6810
Mailing address
7004 Francis Marion Rd
Pamplico, SC 29583-6902
Phone (843) 616-4225
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tapa Educational Resources | Current | Accepting new patients | |
| Theresa'S Way | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Florence, SC
- NPI 1700596269
-
- Mental Health Counselor
- Pamplico, SC
- NPI 1497361448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1225412844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7004 FRANCIS MARION RD",
"city": "PAMPLICO",
"state": "SC",
"postal_code": "295836902",
"telephone_number": "843-616-4225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 HILLSIDE DR",
"city": "PAMPLICO",
"state": "SC",
"postal_code": "295836810",
"telephone_number": "843-616-4225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "TAMIQUIA",
"name_prefix": "Dr.",
"credential": "ED.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pamplico, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.