Simmons' Podiatry, P.a.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO 0001472 Issued in FL

Legal business name

SIMMONS' PODIATRY, P.A.

Practice address

1861 Admiralty Blvd
Rockledge, FL 32955-5209

Phone

(321) 728-1996

Fax

(321) 728-1996

NPI assigned

Oct 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Alan Simmons, DPMNPI 1710013859

Title

President

Phone

(321) 728-1996

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Alan Simmons, DPM

  • Podiatrist
  • Rockledge, FL
  • NPI 1710013859
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1497831796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 ADMIRALTY BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555209",
            "telephone_number": "321-728-1996",
            "fax_number": "321-406-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 ADMIRALTY BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555209",
            "telephone_number": "321-728-1996",
            "fax_number": "321-728-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMONS' PODIATRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-29",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-728-1996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 0001472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480002763",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST COAST SERVICE",
            "identifier": "87795A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn B. Shunnarah, ARNP
• Deborah Ann Sibley, ARNP
• Silvermed Enterprises LLC
• Richard Alan Simmons, DPM
• Ronnesia Simmons
• Sarah Rose Simonetti
• David Andrew Simonson, DPM
• Jasmine Roshae Simpson, OTA
• Alison Wolff Singer, APRN
• Alyson Singer

• Podiatrist in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.