Active NPI
Jada L Fonville-Simmons
- Doula
- Florissant, MO
National Provider Identifier
1487426359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 14748 Faon CT
Florissant, MO 63034-2327 - Phone
- (217) 520-0185
- NPI assigned
- Oct 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | MO | Primary |
Addresses
Primary practice location
14748 Faon CT
Florissant, MO 63034-2327
Mailing address
14748 Faon CT
Florissant, MO 63034-2327
Phone (217) 520-0185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1487426359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14748 FAON CT",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630342327",
"telephone_number": "217-520-0185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14748 FAON CT",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630342327",
"telephone_number": "217-520-0185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONVILLE-SIMMONS",
"first_name": "JADA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-24",
"last_updated": "2023-10-24",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
- Florissant Skilled Nursing, LLC
- Florissant Valley Fire Pro Dist
- Florssant County OB-GYN
- Flourish Home Health LLC
- Tashauna Deniesha Flutch, CNA
- For the Love of Helen Mae LLC
- Shemekia Nicole Ford, DNP, FNP-C
- Mildred Elizabeth Fortune-Gilpin, MSW, LCSW
- Patricia Ann Foster-Staples, MSN, CPNP
- Fredrick L Foster, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.