Jennifer P Simmons, PHD,R.D.,L.F

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT82164 Issued in TX

Practice address

3440 Fannin St
Beaumont, TX 77701-3842

Phone

(409) 833-6900

Fax

(409) 833-6908

NPI assigned

Jul 8, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1508218975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013842",
            "telephone_number": "409-833-6900",
            "fax_number": "409-833-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013842",
            "telephone_number": "409-833-6900",
            "fax_number": "409-833-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JENNIFER",
        "middle_name": "P",
        "credential": "PHD,R.D.,L.F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Sikes, APN, FNP-C
• Karen Elizabeth Siler, NP
• Marco T Silva, MD
• Ileana M Simien
• Corli Simmons
• Kenneth Dale Simmons III, CRNA
• Sue Ann Simmons, LCSW
• Simon Counseling and Consultation Associates PA
• Alexis Marie Simon
• Ashley Nichole Simon, PMHNP-BC

• Registered Dietitian in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.