Cijiana Rene Simmons, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

27243 Issued in TN

Practice address

560 E Main St
Hohenwald, TN 38462-2006

Phone

(931) 796-7658

Fax

(931) 796-7697

NPI assigned

Sep 19, 2018

Last updated

Oct 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Cijiana Duong Former name

Medicare fee-for-service enrollment

Enrolled in WA, TN, AL3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cisimmons@landmarkhealth-direct.org

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

• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment Care Compare group NPD
• Landmark Medical of Tennessee PC

  • General Practice Physician
  • Brentwood, TN
  • NPI 1396498143
  Medicare reassignment NPD
• Columbia Basin Pain Management Institute, PLLC

  dba Columbia Basin Medical Center

  • Family Medicine Physician
  • Richland, WA
  • NPI 1992105613
  Medicare reassignment NPD
• Physicians Immediate Care & Medical Centers, P.S.

  dba BestMed

  • Family Medicine Physician
  • Richland, WA
  • NPI 1821002510
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  TN, WA

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AL

  Medicare reassignment NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  TN

  Medicare reassignment NPD
• Landmark Medical of Tennessee PC

  • General Practice Physician
  • Westbrook, ME
  • NPI 1982310439
  NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD
• Tri Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Pasco, WA
  • NPI 1659995504
  NPD (past)

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1700360328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E BEASLEY RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384647382",
            "telephone_number": "509-948-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 E MAIN ST",
            "city": "HOHENWALD",
            "state": "TN",
            "postal_code": "384622006",
            "telephone_number": "931-796-7658",
            "fax_number": "931-796-7697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1029 N Kellogg St",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993367661",
            "country_code": "US",
            "telephone_number": "509-735-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CIJIANA",
        "middle_name": "RENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60883167",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CIJIANA",
            "last_name": "DUONG",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• RMC Health Inc (Jones Hometown Pharmacy)
• Stephanie Kaye Runions, MPT
• S & L Express
• Alicia Kay Sherman, LPN
• Brittany Shouse
• Victoria Skelton
• Sleep Diagnostics Center, LLC
• State of Tennessee (Lewis County Health Department)
• Lucinda Victoria Stiles, LMFT
• Clara J Stoll, CPM-TN

• Family Nurse Practitioner in Hohenwald, TN
• Providers in Hohenwald, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.