NPIMap

Organization Active NPI

Randall Eugene Simmons

  • Skilled Nursing Facility
  • Haughton, LA
National Provider Identifier
1437567625
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
200422 Issued in LA
Legal business name
RANDALL EUGENE SIMMONS
Practice address
318 Ace St
Haughton, LA 71037-8774
Phone
(318) 423-0297
NPI assigned
Jul 31, 2014
Last updated
Jul 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Randall Eugene SimmonsNPI 1093111213
Title
Cota
Phone
(318) 423-0297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 200422 LA Primary

Addresses

Primary practice location

318 Ace St
Haughton, LA 71037-8774

Mailing address

318 Ace St
Haughton, LA 71037-8774
Phone (318) 423-0297

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1437567625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 ACE ST",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710378774",
            "telephone_number": "318-423-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 ACE ST",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710378774",
            "telephone_number": "318-423-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL EUGENE SIMMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "318-423-0297"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "200422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haughton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.