Kijan A Simmons, RN,NP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

837731 Issued in NV

Practice address

2414 Spanish Fork Ave
North Las Vegas, NV 89031-0688

Phone

(424) 443-8036

NPI assigned

Oct 6, 2021

Sex

Male

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

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1689336786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 SPANISH FORK AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310688",
            "telephone_number": "424-443-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 SPANISH FORK AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310688",
            "telephone_number": "424-443-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "KIJAN",
        "middle_name": "A",
        "credential": "RN,NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "837731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Simenson, LISW LCSW
• Jacob Simkins
• Tarheisha Simmons -Alvarez
• Anita Simmons
• Kai L. Simmons
• Donnieca Tadjonnae Laray Simms
• Leeza Simms
• 93Laponya Simon
• Arteasia Simon
• Dartrell Simon

• Registered Nurse in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.