Brian K. Simmons, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

06571 Issued in IA

Practice address

1334 Nipa Blvd
Fairfield, IA 52556-8987

Phone

(641) 919-4004

Fax

(319) 694-4004

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ottumwa Regional Health Center Inc

  • Home Health Agency
  • Ottumwa, IA
  • NPI 1750383055
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1417068032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 NIPA BLVD",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525568987",
            "telephone_number": "641-919-4004",
            "fax_number": "319-694-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 NIPA BLVD",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525568987",
            "telephone_number": "641-919-4004",
            "fax_number": "319-694-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "BRIAN",
        "middle_name": "K.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "06571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Enterprises PLLC
• Rachel N Shaw, COTA/L
• Michael Shay, LMT CNC
• William Sheppard II, PHD
• Joel H Silver, MD
• Malory Smithburg
• Southeast Iowa Neurological Associates, P.C.
• Southeastern Renal Dialysis L.C.
• Southern Iowa Independent Living, Inc.
• Stephen C. Vantasell, D.D.S.,P.C.

• Social Worker in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.