Zakiya Simon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

36827 Issued in CT

Practice address

245 Whalley Ave
New Haven, CT 06511-3254

Phone

(203) 937-2502

NPI assigned

Nov 27, 2020

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1871197038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CELENTANO DR",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067705215",
            "telephone_number": "203-645-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 WHALLEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113254",
            "telephone_number": "203-937-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "ZAKIYA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CT",
            "license": "36827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Renee Simmons, M.D.
• Reginald Duane Simmons, PH.D.
• Wendy Elese Waithe Simmons, PH.D.
• Michelle Simon, MD
• Patricia Simon, PHD
• Bruce D Simonds, M.D.
• Nilda Simone, RN
• Mark David Simoniello, LCSW
• Michael Simons, M.D.
• Joseph Tyler Simonsen, PHARM.D.

• Licensed Practical Nurse in New Haven, CT
• Providers in New Haven, CT by specialty
• Licensed Practical Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.