Active NPI
Shakana Lashea Simmons-Hall, APRN
- Adult Health Nurse Practitioner
- Ocoee, FL
National Provider Identifier
1730701830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AG01200157
- Practice address
- 115 Jake CT
Ocoee, FL 34761-4418 - Phone
- (407) 803-3706
- NPI assigned
- May 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AG01200157 | FL | Primary |
Addresses
Primary practice location
115 Jake CT
Ocoee, FL 34761-4418
Mailing address
13750 W. Colonial Drive Suite 350 #247
Winter Garden, FL 34787
Phone (407) 803-3706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG01200157 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1730701830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13750 W. COLONIAL DRIVE SUITE 350 #247",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "34787",
"telephone_number": "407-803-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 JAKE CT",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614418",
"telephone_number": "407-803-3706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS-HALL",
"first_name": "SHAKANA",
"middle_name": "LASHEA",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-12",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "AG01200157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.