Jacqueline A Simmons, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22003220A Issued in IN

Practice address

205 N Tillotson Ave RM Rehab
Muncie, IN 47304-3900

Phone

(765) 288-1995

Fax

(765) 289-7512

NPI assigned

Jan 8, 2007

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)

Enrolled

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831247477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 E JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034432",
            "telephone_number": "765-288-1928",
            "fax_number": "765-741-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N TILLOTSON AVE RM REHAB",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043900",
            "telephone_number": "765-288-1995",
            "fax_number": "765-289-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-07-21",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003220A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damien Ange Sighaka Sighaka, MD
• Signal Health Group Inc
• Bobbi Jo Silva, MSW, LSW
• Saroj Silwal, MD
• April Simmons
• Erin Simons
• Benjamin Simpson, MD
• Jessica Simpson, PSYD HSPP
• Rita Singh-Parikshak, MD
• Amanjit Singh, MD

• Speech-Language Pathologist in Muncie, IN
• Providers in Muncie, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.