Cherelle R. Simmons P.a.

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

CHERELLE R. SIMMONS P.A.

Practice address

3040 Oasis Grand Blvd Apt 608
Fort Myers, FL 33916-1529

Phone

(215) 678-9867

NPI assigned

Mar 30, 2021

Last updated

Mar 30, 2021By 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

Cherelle R Simmons Chin, SLPD CCC-SLPNPI 1053710103

Title

Owner

Phone

(215) 678-9867

Specialties & licenses 1

Addresses

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.

• Cherelle Renee Simmons Chin, SLPD CCC-SLP

  • Speech-Language Pathologist
  • Lehigh Acres, FL
  • NPI 1053710103
  NPD Authorized official

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1407434814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 OASIS GRAND BLVD APT 608",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339161529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 OASIS GRAND BLVD APT 608",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339161529",
            "telephone_number": "215-678-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERELLE R. SIMMONS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "SIMMONS CHIN",
        "authorized_official_first_name": "CHERELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-678-9867",
        "authorized_official_credential": "SLPD CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farid Chekaoui, M.D.
• Hsiong Chen, MD
• Kayla Leann Chen
• Qinjin Chen, D.O
• Ricky Chen, M.D.
• Ruth Cherenfant, PA-C
• Ellenne Cherisol
• Georgy Cherkassky, M.D.
• Angela Chernyshov, MMS, PA-C
• Pamela Renee Cherrington, PTA

• Hearing and Speech Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Hearing and Speech Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.