Christina C Simmons, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.149396.MEDS-IV Issued in OH

Practice address

920 Boardman Canfield Rd
Boardman, OH 44512-4218

Phone

(330) 259-8813

NPI assigned

Jun 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Path Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Boardman, OH
  • NPI 1124558580
  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1669965943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9774 BRYANT RD",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442319457",
            "telephone_number": "234-755-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124218",
            "telephone_number": "330-259-8813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9774 Bryant Rd",
            "address_purpose": "LOCATION",
            "city": "Garrettsville",
            "state": "OH",
            "postal_code": "442319457",
            "country_code": "US",
            "telephone_number": "234-755-1855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CHRISTINA",
        "middle_name": "C",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.149396.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Shurtleff
• Alyssa Marie Sidwell-Sutton, RBT
• Jane A Sidwell
• Rachel Sieman
• William V Silverstone, LISW
• Beth Simon, MA CCC-SLP
• Rahn Simon, MD
• Joni Lynn Sims, CNP
• Elizabeth Mary Sipusic, M.D.
• Chelsy Elizabeth Skalada

• Licensed Practical Nurse in Boardman, OH
• Providers in Boardman, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.