Active NPI
Leah Renee Simmons, LAT, ATC
- Athletic Trainer
- Hyattsville, MD
National Provider Identifier
1609392364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A0001253
- Practice address
- 7000 Adelphi Rd
Hyattsville, MD 20782-1454 - Phone
- (907) 441-9215
- NPI assigned
- Aug 15, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | A0001253 | MD | Primary |
Addresses
Primary practice location
7000 Adelphi Rd
Hyattsville, MD 20782-1454
Mailing address
3350 Toledo Ter Apt 211
Hyattsville, MD 20782-1392
Phone (907) 441-9215
Other practice location 1
751 W Pitkin St
Fort Collins, CO 80521
Phone (907) 441-9215
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0001253 | MD | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1609392364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 TOLEDO TER APT 211",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207821392",
"telephone_number": "907-441-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 ADELPHI RD",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207821454",
"telephone_number": "907-441-9215"
}
],
"practiceLocations": [
{
"address_1": "751 W Pitkin St",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "80521",
"country_code": "US",
"telephone_number": "907-441-9215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "LEAH",
"middle_name": "RENEE",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A0001253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.