Individual provider Active NPI

Sherri Lee Simmons, LPN

  • Licensed Practical Nurse
  • Steubenville, OH
National Provider Identifier
1255848602
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
089942 Issued in OH
Practice address
601 Brady Ave
Steubenville, OH 43952-1459
Phone
(740) 282-4231
Fax
(740) 282-4235
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 089942 OH Primary

Addresses

Primary practice location

601 Brady Ave
Steubenville, OH 43952-1459

Mailing address

601 Brady Ave
Steubenville, OH 43952-1459
Phone (740) 282-4231

Other practice location 1

302 W Main St
Saint Clairsville, OH 43950-8801
Phone (740) 968-7006

Other identifiers 1

IdentifierTypeStateIssuer
089942MedicaidOH

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

LicenseStateTypeSpecialty
089942OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255848602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BRADY AVE",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521459",
            "telephone_number": "740-282-4231",
            "fax_number": "740-282-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BRADY AVE",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521459",
            "telephone_number": "740-282-4231",
            "fax_number": "740-282-4235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 W Main St",
            "address_purpose": "LOCATION",
            "city": "Saint Clairsville",
            "state": "OH",
            "postal_code": "439508801",
            "country_code": "US",
            "telephone_number": "740-968-7006",
            "fax_number": "740-968-7256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "SHERRI",
        "middle_name": "LEE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "089942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089942",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.