Simmons Early Intervention Therapy, LLC

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Legal business name

SIMMONS EARLY INTERVENTION THERAPY, LLC

Practice address

110 Hines Dr
Goldsboro, NC 27534-8630

Phone

(919) 344-5890

Fax

(919) 751-2320

NPI assigned

Apr 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shonta Toneik Simmons, BS, ITFSNPI 1295869246

Title

Early Intervention Therapist

Phone

(919) 344-5890

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shonta Simmons, ITFS BS CBRS PROF.

  • Specialist
  • Goldsboro, NC
  • NPI 1295869246
  NPD (past) Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356566756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HINES DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348630",
            "telephone_number": "919-344-5890",
            "fax_number": "919-751-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HINES DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348630",
            "telephone_number": "919-344-5890",
            "fax_number": "919-751-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMONS EARLY INTERVENTION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "SHONTA",
        "authorized_official_middle_name": "TONEIK",
        "authorized_official_title_or_position": "EARLY INTERVENTION THERAPIST",
        "authorized_official_telephone_number": "919-344-5890",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS, ITFS"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301201",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301201K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Christopher Sherrouse, LCSW
• Jerry Shipman, PA
• Karen Shoemake
• Barbara H. Shoestock, OTR/L
• Ajay Iyengar Shreenath, MD
• Millicent Murray Simmons, RD, LDN
• Shonta Simmons, ITFS BS CBRS PROF.
• Simplicity Counseling Services PLLC
• Morgan P Sinclair
• Skill Creations

• Developmental Therapist in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Developmental Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.