Latonia Delores Simmons

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

033051300 Issued in FL

Practice address

12428 Cadley Cir
Jacksonville, FL 32219-1861

Phone

(904) 802-4363

Fax

(904) 713-0632

NPI assigned

Nov 6, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• La Assistant Services

  • Homemaker
  • Jacksonville, FL
  • NPI 1114495512
  NPD (past)

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1841629243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12428 CADLEY CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322191861",
            "telephone_number": "904-802-4363",
            "fax_number": "904-713-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12428 CADLEY CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322191861",
            "telephone_number": "904-802-4363",
            "fax_number": "904-713-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "LATONIA",
        "middle_name": "DELORES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "033051300",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "232816",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003051300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Simmons
• Henry Lee Simmons Jr.
• James Thomas Simmons, OTC
• Joyce Carol Simmons
• Kiara Michelle Simmons
• Linda Simmons, RN
• Mary Simmons
• Patricia Ann Simmons
• Reeves Evan Simmons, PHARMD
• Shantel Nicole Simmons

• Developmentally Disabled Services Day Training Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.