Carla Jai Simmons

Primary specialty

SpecialistTaxonomy code 174400000X

License

C85570 Issued in NC

Practice address

1300 Bragg Blvd Ste 1318
Fayetteville, NC 28301-4296

Phone

(910) 824-2339

NPI assigned

Oct 23, 2017

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

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1699286260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BRAGG BLVD STE 1318",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014296",
            "telephone_number": "910-824-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BRAGG BLVD STE 1318",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014296",
            "telephone_number": "910-824-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CARLA",
        "middle_name": "JAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "C85570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvers Home Care LLC
• Tseday Tsegaye Sime, FNP-BC
• Megan Simental
• Nicole Kathleen Simmler, OTR/L
• Brandie Simmons
• Christen Baggett Simmons
• Constance Lorraine Simmons
• Cosheonna Simmons, LCSW-A
• Danielle Cheri Simmons
• Elizabeth Simmons, PT, DPT

• Specialist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.