Active NPI
Sonya Yvette Jackson-Simmons, ARNP-C
- Family Nurse Practitioner
- Palm Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP2801322
- Practice address
- 1630 S Congress Ave Ste 200
Palm Springs, FL 33461-2171 - Phone
- (561) 253-3980
- Fax
- (561) 253-3985
- NPI assigned
- Jul 8, 2010
- Last updated
- Oct 15, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP2801322 | FL | |
| Acute Care Nurse Practitioner | 363LA2100X | ARNP2801322 | FL | |
| Family Nurse Practitioner | 363LF0000X | ARNP2801322 | FL | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | ARNP2801322 | FL |
Addresses
Primary practice location
1630 S Congress Ave Ste 200
Palm Springs, FL 33461-2171
Mailing address
PO Box 160748
Altamonte Springs, FL 32716-0748
Phone (561) 253-3980
Other practice location 1
11621 Kew Gardens Ave Ste 101A
Palm Beach Gardens, FL 33410-2853
Phone (561) 253-3980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11621 Kew Gardens Ave
Suite 101a
Palm Beach Gardens, FL 33410-2853
Phone (561) 253-3980
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Cancer Center of South Florida PLLC | Current | Accepting new patients | |
| Cancer Center of South Florida PLLC | Current | Accepting new patients | |
| Premier Urgent Care Center, LLC | Current | Accepting new patients | |
| Premier Physician Holdings, LLC | Current | Accepting new patients | |
| Innovacare Florida Physicians, LLC | Past | Accepting new patients |
Locations
6900 Tavistock Lakes Blvd
Ste 300
Orlando, FL 32827
Phone (321) 332-6947
11621 Kew Gardens Ave
Ste 101A
Palm Beach Gardens, FL 33410
Phone (561) 253-3985
1630 S Congress Ave
Ste 200
Palm Springs, FL 33461
Phone (561) 621-0012
1037 S State Road 7
Ste 113
Wellington, FL 33414
1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- sjacksonsimmons313869@direct.tgh.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oncology Clinic/Center
- Palm Springs, FL
- NPI 1194990333
-
- Urgent Care Clinic/Center
- Wellington, FL
- NPI 1740501576
-
dba TGH Cancer Institute at Riverview
- Hematology & Oncology Physician
- Riverview, FL
- NPI 1558943761
-
dba Premier Urgent Care
- Urgent Care Clinic/Center
- Wellington, FL
- NPI 1831838010
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
dba Premier Family Health
- Family Medicine Physician
- Wellington, FL
- NPI 1316694508
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Good Samaritan Medical Center
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
dba Palm Beach Gardens Medical Center
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1649582438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160748",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327160748",
"telephone_number": "561-253-3980",
"fax_number": "561-253-3985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 S CONGRESS AVE STE 200",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334612171",
"telephone_number": "561-253-3980",
"fax_number": "561-253-3985"
}
],
"practiceLocations": [
{
"address_1": "11621 Kew Gardens Ave Ste 101A",
"address_purpose": "LOCATION",
"city": "Palm Beach Gardens",
"state": "FL",
"postal_code": "334102853",
"country_code": "US",
"telephone_number": "561-253-3980",
"fax_number": "561-253-3985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON-SIMMONS",
"first_name": "SONYA",
"middle_name": "YVETTE",
"credential": "ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP2801322",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "ARNP2801322",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP2801322",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "ARNP2801322",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.