Gracie Allene Simmons

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

398 Pioneer Rd Apt 12102
Rexburg, ID 83440-2071

Phone

(931) 703-7736

NPI assigned

Mar 24, 2025

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1689476541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 PIONEER RD APT 12102",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402071",
            "telephone_number": "931-703-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 PIONEER RD APT 12102",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402071",
            "telephone_number": "931-703-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "GRACIE",
        "middle_name": "ALLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Shippen, DO
• Emily Shore, LCSW
• Adam Louis Shurtz, DPT
• Alicia G Siddoway, RPT
• Matthew Galland Silva
• Stephanie Ann Sims
• Steven G Sjoblom, CCC-SLP
• Skinlab 360 Dermatology & Aesthetics LLC
• Brandi E Slachter, BSRPH
• Sleep DDS LLC

• Social Worker in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.