Individual provider Active NPI

Leah Renee Simmons, LAT, ATC

  • Athletic Trainer
  • Hyattsville, MD
National Provider Identifier
1609392364
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
A0001253 Issued in MD
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

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
A0001253MDMDAthletic 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.

Verify at the official NPI Registry.