Toosdhi Marquette McDaniel-Simmons, PRACTICAL NURSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

81406 Issued in NC

Practice address

3015 Amberjack Rd
Fayetteville, NC 28306-7989

Phone

(973) 776-6561

NPI assigned

Apr 28, 2019

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556409600000",
    "number": "1346804036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 AMBERJACK RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067989",
            "telephone_number": "973-776-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 AMBERJACK RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067989",
            "telephone_number": "973-776-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3015 Amberjack Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283067989",
            "country_code": "US",
            "telephone_number": "973-776-6561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL-SIMMONS",
        "first_name": "TOOSDHI",
        "middle_name": "MARQUETTE",
        "credential": "PRACTICAL NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-28",
        "last_updated": "2019-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "81406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Grant McCullough, M.D.
• Lihan Marie McCullough
• Mischella McCurtain
• Wenda E McCutchan, M.D.
• Thomas McConnell McCutchen Jr., M.D.
• John Anderson McDaniel II, D.D.S.
• Ronald Keith McDaniel Sr., LCSW
• Thomas Garrett McDaniel, D.D.S.
• Ashley McDonald, PHARM D
• Carl McDonald, MD

• Licensed Practical Nurse in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2019; 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.