Active NPI
Sun'Da Marie Simmons, STNA
- Other Technician
- Mayfield HTS, OH
National Provider Identifier
1871803759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 375397980296
- Practice address
- 6809 Mayfield Rd Apt 1150
Mayfield HTS, OH 44124-2267 - Phone
- (216) 780-2770
- Fax
- (216) 373-1409
- NPI assigned
- Oct 13, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 261026090011 | OH | |
| Other Technician | 247200000X | 375397980296 | OH | Primary |
| Renal Dialysis Technician | 2472R0900X | 209090 | OH |
Addresses
Primary practice location
6809 Mayfield Rd Apt 1150
Mayfield HTS, OH 44124-2267
Mailing address
6809 Mayfield Rd Apt 1150
Mayfield HTS, OH 44124-2267
Phone (216) 780-2770
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 |
|---|---|---|---|
| 261026090011 | OH | MD | Phlebotomy Technician |
| 375397980296 | OH | MD | Other Technician |
| 209090 | OH | MD | Renal Dialysis Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1871803759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6809 MAYFIELD RD APT 1150",
"city": "MAYFIELD HTS",
"state": "OH",
"postal_code": "441242267",
"telephone_number": "216-780-2770",
"fax_number": "216-373-1409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6809 MAYFIELD RD APT 1150",
"city": "MAYFIELD HTS",
"state": "OH",
"postal_code": "441242267",
"telephone_number": "216-780-2770",
"fax_number": "216-373-1409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "SUN'DA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "STNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-13",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "OH",
"license": "261026090011",
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "OH",
"license": "375397980296",
"primary": true
},
{
"code": "2472R0900X",
"taxonomy_group": "",
"desc": "Technician, Other, Renal Dialysis",
"state": "OH",
"license": "209090",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayfield HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.