Active NPI
Amber Mackenzie Simmons, ATC
- Athletic Trainer
- Harrisonburg, VA
National Provider Identifier
1750770798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126002285
- Practice address
- 800 S Main St
Harrisonburg, VA 22807-0001 - Phone
- (330) 819-5099
- NPI assigned
- Jan 14, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126002285 | VA | Primary |
Addresses
Primary practice location
800 S Main St
Harrisonburg, VA 22807-0001
Mailing address
336 Firwood Ave
Cuyahoga Falls, OH 44221-2312
Phone (330) 819-5099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT005068 | Other | OH | STATE LICENSURE |
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 |
|---|---|---|---|
| 0126002285 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1750770798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 FIRWOOD AVE",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442212312",
"telephone_number": "330-819-5099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S MAIN ST",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228070001",
"telephone_number": "330-819-5099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "AMBER",
"middle_name": "MACKENZIE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-14",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126002285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "AT005068",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisonburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.