Active NPI
Jonathan Todd Simmons, RN
- Flight Registered Nurse
- Bluff City, TN
National Provider Identifier
1659837110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Flight Registered Nurse
- License
- 225727
- Practice address
- 144 Nascar Boulavard
Bluff City, TN 37618 - Phone
- (423) 742-1421
- NPI assigned
- Feb 20, 2019
- Last updated
- Feb 20, 2019
- 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 |
|---|---|---|---|---|
| Flight Registered Nurse | 163WF0300X | 225727 | TN | Primary |
Addresses
Primary practice location
144 Nascar Boulavard
Bluff City, TN 37618
Mailing address
595 Lori Cicle
Chuckey, TN 37641
Phone (423) 329-4108
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225727 | TN | MD | Flight Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1659837110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 LORI CICLE",
"city": "CHUCKEY",
"state": "TN",
"postal_code": "37641",
"telephone_number": "423-329-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 NASCAR BOULAVARD",
"city": "BLUFF CITY",
"state": "TN",
"postal_code": "37618",
"telephone_number": "423-742-1421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "JONATHAN",
"middle_name": "TODD",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-20",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WF0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Flight",
"state": "TN",
"license": "225727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluff City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.