Individual provider Active NPI

Tamarra Marie Simmons

  • Nurse's Aide
  • Cincinnati, OH
National Provider Identifier
1316658586
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
401948950317 Issued in OH
Practice address
8401 Bobolink Ave
Cincinnati, OH 45231-5505
Phone
(513) 972-7835
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X
Home Health Aide 374U00000X
Nurse's Aide 376K00000X 401948950317 OH Primary

Addresses

Primary practice location

8401 Bobolink Ave
Cincinnati, OH 45231-5505

Mailing address

8401 Bobolink Ave
Cincinnati, OH 45231-5505
Phone (513) 972-7835

Other practice location 1

8401 Bobolink Ave
Cincinnati, OH 45231-5505
Phone (513) 972-7835

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
401948950317OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1316658586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 BOBOLINK AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452315505",
            "telephone_number": "513-972-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 BOBOLINK AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452315505",
            "telephone_number": "513-972-7835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 Bobolink Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452315505",
            "country_code": "US",
            "telephone_number": "513-972-7835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "TAMARRA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401948950317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.