Active NPI
Keyshawn D. Simmons, RT
- Recreation Therapist
- Richmond, VA
National Provider Identifier
1639764244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- Practice address
- Central Virginia Veterans Heath Care System
1201 Broad Rock Blvd.
Richmond, VA 23249 - Phone
- (804) 675-5000
- Fax
- (804) 675-5011
- NPI assigned
- Mar 5, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | Primary |
Addresses
Primary practice location
Central Virginia Veterans Heath Care System
1201 Broad Rock Blvd.
Richmond, VA 23249
Mailing address
Central Virginia Veterans Heath Care System
1201 Broad Rock Blvd.
Richmond, VA 23249
Phone (804) 675-5000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1639764244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CENTRAL VIRGINIA VETERANS HEATH CARE SYSTEM",
"address_2": "1201 BROAD ROCK BLVD.",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23249",
"telephone_number": "804-675-5000",
"fax_number": "804-675-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRAL VIRGINIA VETERANS HEATH CARE SYSTEM",
"address_2": "1201 BROAD ROCK BLVD.",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23249",
"telephone_number": "804-675-5000",
"fax_number": "804-675-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "KEYSHAWN",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "RT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-05",
"last_updated": "2021-03-05",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.