Phenomenal Success

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PHENOMENAL SUCCESS

Practice address

11306 Lincolnshire Dr
Cincinnati, OH 45240-2339

Phone

(513) 795-4489

NPI assigned

Jun 16, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal Simmons

Title

Owner

Phone

(513) 795-4489

Specialties & licenses 1

Addresses

Other names 1

• Phenomenal Success Doing business as

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1629964622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11306 LINCOLNSHIRE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402339",
            "telephone_number": "513-795-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11306 LINCOLNSHIRE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402339",
            "telephone_number": "513-795-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENOMENAL SUCCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-795-4489",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phenomenal Success",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derek Edward Phelps, CRNA
• Jimica D Phelps
• Karen S Phelps, CRNA
• Melissa Jo Phelps
• Veschelley Denise Phelps
• Hannah J Phero, RN, CRNA
• James Alexander Phero, D.D.S
• James C Phero, DMD
• Christina Marie Phibbs, PCC-S
• Philautia TD

• Clinical Medical Laboratory in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.